[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-1-內外科護理學-008","nurse-109-1-medical-surgical-008",109,1,8,"有關闌尾炎護理措施的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"右下腹部可熱敷","手術前須先灌腸","術後鼓勵病人盡量床上休息","術後 6 週內避免提重物","D",null,[],"本題考點在於急性闌尾炎的護理措施正誤。術後六週內避免提重物以防傷口裂開(D)為正確衛教。右下腹熱敷(A)會促進發炎擴散並增加闌尾破裂與腹膜炎風險,屬禁忌;手術前施行灌腸(B)同樣可能因腸蠕動增加而誘發闌尾破裂,故術前禁止灌腸;術後應鼓勵早期下床活動以促進腸蠕動、預防腸沾黏與併發症,而非盡量臥床休息(C)。故三個錯誤選項均與闌尾炎照護原則相悖,正確答案為 D。考點在於掌握闌尾炎「禁熱敷、禁術前灌腸、鼓勵早期活動」的核心照護。","急性闌尾炎照護的三大禁忌與原則要牢記:術前疑似或未手術前禁熱敷、禁灌腸、禁瀉劑、禁止揉壓腹部——這些都會增加腸蠕動或腹內壓,誘發闌尾破裂與腹膜炎;疼痛時也不隨意給強效止痛以免掩蓋病情。術後則鼓勵早期下床促進腸蠕動、預防腸沾黏與肺部併發症,並在恢復期(約六週)避免提重物防傷口裂開或疝氣。核心邏輯:破裂前一切避免刺激腸道,術後促進活動與傷口癒合。",[24,27,29,31],{"term":25,"count":26},"急性闌尾炎",2,{"term":28,"count":26},"術後早期下床",{"term":30,"count":10},"禁熱敷禁灌腸",{"term":32,"count":10},"闌尾破裂預防",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-009","有關肛門瘻管手術治療後常見的併發症，下列何者正確？①出血 ②腹股溝疝氣 ③瘻管復發 ④解便失禁",9,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-025","有關白內障之敘述，下列何者錯誤？",25,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-039","有關血小板減少症照護的敘述，下列何者正確？",39,110,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-1-medical-surgical-077","下列何種情況最可能引發神經性休克？",77,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-medical-surgical-041","有關上腔靜脈症候群之敘述，下列何者正確？",41,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-005","缺血性腦中風使用血栓溶解劑（rt-PA）治療的敘述，下列何者錯誤？①可以重新打通阻塞血管 ②有動脈瘤或動靜脈畸形者不適用 ③必須在中風 8 小時內使用 ④嚴重肝病病人不適用",5,113,3,"2026-09-04",1788510712373]