[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-021":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":10},"nurse-109-2-內外科護理學-021","nurse-109-2-medical-surgical-021",109,2,21,"病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",{"A":14,"B":15,"C":16,"D":17},"皮膚布滿黃棕色皮膚碎屑","肌肉張力增加","肢體看起來僵硬","平衡感改變","B",null,[],"本題考點在於長期石膏固定後因廢用所產生的變化，屬「找出不會出現的現象」。肢體長期不活動會導致肌肉萎縮、肌力與肌張力下降，而非增加，故 B「肌肉張力增加」不會出現，為答案。A 皮膚布滿黃棕色碎屑是石膏下皮膚代謝物與死皮堆積、無法正常清潔所致，會出現。C 肢體僵硬因關節長期固定使關節活動度受限、組織緊縮而顯僵硬，會出現。D 平衡感改變因長期未負重與本體感覺輸入減少，拆石膏後常見暫時性平衡失調，會出現。故不會看到的是肌肉張力增加。","廢用症候群（disuse syndrome）源於長期固定或臥床：肌肉萎縮與肌力下降、關節攣縮與僵硬、骨質流失（廢用性骨質疏鬆）、皮膚與循環問題、平衡與本體感覺退化。石膏下皮膚因無法清潔而堆積死皮與皮屑，拆除時常見脫屑。復健重點在漸進性關節活動與肌力訓練、負重再適應。記憶：「用進廢退」——不動則肌力、肌張力、關節活動度、骨密度、平衡皆下降，凡選項寫「增加\u002F增強」多屬相反的錯誤敘述。",[24,26,29,31,33],{"term":25,"count":10},"廢用症候群",{"term":27,"count":28},"肌肉萎縮",1,{"term":30,"count":28},"關節攣縮",{"term":32,"count":28},"本體感覺",{"term":34,"count":28},"廢用性骨質疏鬆",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-medical-surgical-022","有關聽力喪失可聽見的音量敘述，下列何者錯誤？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-110-1-medical-surgical-038","有關化學藥物發生滲漏的敘述，下列何者正確？",38,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-medical-surgical-052","當動脈氣體分析值為 pH：7.40、PaCO 2 ：42 mmHg、HCO 3 - ：24 mEq\u002FL、PaO 2 ：80 mmHg 時，有關病人呼吸器脫離（ventilator weaning）的敘述，下列何者正確？",52,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-112-1-medical-surgical-010","進行內視鏡逆行性膽胰攝影檢查，若導管不易進入總膽管，可使用下列何種藥物讓歐迪氏括約肌（sphincter of Oddi）鬆弛？",10,112,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-113-1-medical-surgical-004","有關阿茲海默氏症之敘述，下列何者錯誤？",4,113,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-114-1-medical-surgical-048","72歲男性，有心臟病病史，夏天逛露天賣場時不明原因昏倒，臉色潮紅，皮膚乾熱，呼吸24次／分，脈搏強而快，體溫41.5℃，下列何者為其最可能診斷？",48,114,"2026-09-04",1788510716447]