[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-內外科護理學-009","nurse-109-1-medical-surgical-009",109,1,9,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於肛門瘻管(Anal fistula)手術後常見併發症的辨識。術後傷口位於血流豐富的肛門周圍,可能出血(①);瘻管若清創不全或再感染可能復發(③);手術若傷及肛門括約肌,則可能導致解便失禁(④)。三者皆為合理併發症。而腹股溝疝氣(②)屬腹壁結構缺損問題,與肛門瘻管手術部位及機轉無關,並非其併發症。故正確組合為①③④,答案為 C。考點在於連結手術部位解剖構造(括約肌、肛周血管)推論其可能併發症。","解此類「併發症組合」題,靠的是手術部位的解剖推理:肛門瘻管手術在肛周動,該處血流豐富故易出血、鄰近肛門括約肌故可能傷及而失禁、瘻管管道清創不全或再感染故會復發。腹股溝疝氣屬腹壁鼠蹊區的結構缺損,解剖位置與機轉都與肛門手術無關,自然不是併發症。照護重點:術後採溫水坐浴促進癒合與清潔、觀察出血與排便功能、評估括約肌控制。",[24,26,28,30],{"term":25,"count":10},"肛門瘻管",{"term":27,"count":10},"術後併發症",{"term":29,"count":10},"肛門括約肌損傷",{"term":31,"count":10},"解便失禁",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-010","有關大腸癌病因的敘述，下列何者錯誤﹖",10,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-026","僧帽瓣逆流或狹窄的病人，易出現下列何種症狀？①呼吸困難 ②下肢水腫 ③端坐呼吸 ④咳嗽 ⑤肝腫大",26,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-040","有關預防乳癌病人術後淋巴水腫的照護，下列敘述何者正確？",40,110,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-1-medical-surgical-078","有關敗血症之敘述，下列何者錯誤？",78,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-042","有關癌症疼痛處置之敘述，下列何者正確？",42,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-006","有關維持口腔黏膜完整性的原則，下列敘述何者錯誤？",6,113,3,"2026-09-04",1788510712383]