[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-080","nurse-109-1-medical-surgical-080",109,1,80,"病人因腰椎椎間盤突出接受手術治療，術後依醫囑需穿硬背架 3 個月，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"指導病人可進行威廉氏運動加強下背部的肌肉力量","指導病人拆線後便可沐浴，最好採淋浴","應每兩小時將背架取下讓背部休息","指導病人在床上穿好背架後再下床","C",null,[],"本題考點在於腰椎椎間盤突出術後硬背架的使用原則，屬「找錯誤」題。硬背架用於限制脊椎活動、維持術後椎體穩定與癒合，凡離床活動時皆須全程穿戴支撐，不可每兩小時取下讓背部休息，否則失去固定保護、增加脊椎受力風險，故 C 為錯誤敘述、即答案。A 威廉氏運動藉屈曲動作強化下背與腹部肌群、減輕椎間盤壓力，屬正確復健指導。B 拆線後可淋浴、避免盆浴泡水以防感染，敘述正確。D 於床上平躺、受力最小時先穿好背架再下床，避免起身時脊椎失去支撐，敘述正確。核心在辨識背架須持續固定的原則。","椎間盤突出（HIVD）術後背架屬外固定支持，原則是「躺著可鬆、起身必戴」，取下時機為平躺休息，而非定時卸除。威廉氏運動強調骨盆後傾、屈膝收腹以打開椎間孔、減壓神經根，與麥肯基（McKenzie）伸展運動方向相反。術後衛教並重維持正確身體姿勢與避免彎腰負重。",[24,27,29,31,33],{"term":25,"count":26},"腰椎椎間盤突出",2,{"term":28,"count":10},"硬背架外固定",{"term":30,"count":10},"威廉氏運動",{"term":32,"count":10},"術後脊椎穩定",{"term":34,"count":10},"身體力學",[36,39,44,48,53,59],{"webId":37,"stem":38,"number":10,"year":9,"session":26},"nurse-109-2-medical-surgical-001","有關顱內壓升高的處置，下列敘述何者正確？",{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-1-medical-surgical-017","有關胃食道逆流的居家照護注意事項，下列何者錯誤？",17,110,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-110-2-medical-surgical-031","有關心律不整的敘述，下列何者錯誤？",31,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-111-2-medical-surgical-069","有關庫欣氏症候群（Cushing’s syndrome）的飲食指導，下列何者錯誤？",69,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-medical-surgical-033","有關全身性紅斑性狼瘡（SLE）病人的診斷檢查結果，下列何者正確？",33,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-medical-surgical-027","有關帶狀疱疹臨床症狀之敘述，下列何者正確？",27,114,"2026-09-04",1788510713035]