[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-020","nurse-109-1-medical-surgical-020",109,1,20,"上石膏後 24 小時內病人的護理評估結果，下列何者應做立即處置？",{"A":14,"B":15,"C":16,"D":17},"石膏表面有灼熱點","石膏肢體遠端有輕微水腫","石膏肢體內皮膚搔癢","石膏肢體有酸味","A",null,[],"本題考點在於上石膏後24小時內須立即處置的警訊辨識。石膏內肢體最須警覺神經血管損傷與感染。選項A石膏表面出現「灼熱點（hot spot）」提示下方組織壓迫壞死或感染化膿產熱，屬須立即處理的異常，故選A。選項B石膏遠端輕微水腫在初期常見，抬高患肢即可觀察，非緊急；選項C皮膚搔癢常見且不可將物品伸入抓癢，屬衛教而非急處置；選項D酸味雖須留意，但單一酸味在早期未必代表急性壞死，相較灼熱點的組織壞死警示性低。故最需立即處置者為石膏灼熱點。","石膏照護最危險的併發症是腔室症候群，須以「6P」評估：疼痛（Pain，尤其被動牽張加劇）、蒼白（Pallor）、感覺異常（Paresthesia）、脈搏消失（Pulselessness）、麻痺（Paralysis）、冰冷（Poikilothermia）。灼熱點與惡臭滲液提示下方壓瘡或感染，須開窗檢視。石膏初期抬高患肢並冰敷可減腫，但持續腫脹合併劇痛與感覺異常須警覺腔室症候群。",[24,27,30,32],{"term":25,"count":26},"石膏護理",4,{"term":28,"count":29},"神經血管評估",2,{"term":31,"count":10},"灼熱點提示組織壞死感染",{"term":33,"count":10},"腔室症候群6P",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-021","有關美尼爾氏症候群的敘述，下列何者錯誤？",21,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-037","下列何者不是骨髓檢查之目的？",37,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-051","有關全身性紅斑性狼瘡（SLE）的診斷檢查，下列何者錯誤？",51,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-009","有關發炎性腸道疾病的敘述，下列何者正確？",9,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-medical-surgical-053","王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？",53,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-medical-surgical-017","一位 74 歲男性，因胸痛數次到醫院檢查，檢驗報告 LDH1\u002FLDH2＞1；CK-MB 460 U\u002FL；Troponin I 15.0 ng\u002FmL； K + 3.0 mEq\u002FdL，有關其檢驗報告的判讀，下列何者正確？",17,113,3,"2026-09-04",1788510712485]