[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-109-2-內外科護理學-080","nurse-109-2-medical-surgical-080",109,2,80,"有關手部衛生之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是預防醫療照護相關感染最簡單、最有效且最合乎成本效益的方法","一般手部衛生的目的是去除手部污垢及有效的降低皮膚上固有性菌叢的數量","在接觸或執行照護活動之前洗手，是為了降低微生物傳遞給病人的風險","接觸或暴露病人體液之後洗手，是為了降低將微生物傳遞給醫療人員和照護區的風險","B",null,[],"本題考點是手部衛生的目的與效果，須選「錯誤」敘述。一般手部衛生能去除污垢並有效降低皮膚上的暫時性菌叢，但無法有效清除深居毛囊與皮脂腺的固有性（常在）菌叢，要減少固有菌叢需外科刷手，故選項B「有效降低固有性菌叢數量」錯誤，為正解。選項A手部衛生是預防醫療照護相關感染最簡單、有效且符合成本效益的方法，正確；選項C照護前洗手降低微生物傳給病人的風險，正確；選項D接觸體液後洗手降低微生物傳給醫護與環境的風險，正確。","區分兩種菌叢是本題關鍵：暫時性菌叢附著於皮膚表層，經接觸而來、容易用一般洗手或酒精性乾洗手去除，是交叉感染主角；固有（常在）菌叢深居皮膚角質層下與毛囊，一般洗手僅能減少而難清除，須外科手部消毒才顯著壓低。呼應世界衛生組織『手部衛生五時機』：接觸病人前、無菌操作前、暴露體液後、接觸病人後、接觸病人周遭環境後。記憶重點：一般手部衛生對付暫時菌叢、預防交叉感染；外科刷手才針對固有菌叢，供侵入性手術使用。",[24,27,29,31,33],{"term":25,"count":26},"手部衛生",1,{"term":28,"count":26},"暫時性菌叢",{"term":30,"count":26},"固有性菌叢",{"term":32,"count":26},"醫療照護相關感染",{"term":34,"count":26},"手部衛生五時機",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":26,"year":39,"session":26},"nurse-110-1-medical-surgical-001","有關重積性癲癇的敘述，下列何者正確？",110,{"webId":41,"stem":42,"number":43,"year":39,"session":10},"nurse-110-2-medical-surgical-017","有關痔瘡術後的護理措施，下列何者錯誤？",17,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-111-1-medical-surgical-031","有關聽診心音之敘述，下列何者錯誤？",31,111,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-112-1-medical-surgical-069","下列何種荷爾蒙分泌過多會導致康氏症候群（Conn’s syndrome）？",69,112,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-113-2-medical-surgical-013","病人接受白內障囊外摘除術後之護理指導，下列何者最適當？ ①用力咳嗽 ②彎腰洗頭 ③預防便秘 ④避免提重物",13,113,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-114-3-medical-surgical-007","有關胃食道逆流之護理指導，下列敘述何者最適當？①採床頭抬高的姿勢睡覺 ②穿緊身衣防止胃內容物逆流 ③進食後需躺平休息 ④避免提重物或彎腰運動",7,114,3,"2026-09-04",1788510717050]