[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-006":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-110-1-內外科護理學-006","nurse-110-1-medical-surgical-006",110,1,6,"協助昏迷病人由側臥翻成平躺時，須注意下列那一個部位是否有壓傷形成？",{"A":14,"B":15,"C":16,"D":17},"枕骨","尾椎骨","足跟","踝部","D",null,[],"本題考點是不同臥位的壓力點辨識。病人「由側臥翻成平躺」，此時須檢查的是「側臥時」受壓的部位是否已形成壓傷。側臥的主要壓力點包括耳、肩峰、髖部（大轉子）、膝側，以及踝部（外踝），故答案為踝部（D）。A枕骨、B尾椎骨、C足跟均為「平躺（仰臥）」時的壓力點，屬翻身『之後』才開始承壓的部位，而非剛結束的側臥受壓點。故選D。","各臥位骨突壓力點：仰臥—枕骨、肩胛、肘、薦尾骨、足跟；側臥—耳廓、肩峰、肋、髖（大轉子）、膝內外側、外踝；俯臥—顴、耳、乳房／生殖器、髂前上棘、膝、足趾；坐姿—坐骨結節。翻身照護的邏輯是評估『剛剛承受壓力的那個姿勢』的壓力點，因壓傷是先前受壓造成。本題由側臥→仰臥，故要查側臥壓力點＝外踝（踝部）。枕骨、尾椎、足跟是仰臥點，屬翻過去後要開始注意的『下一個』受壓處，不是本題答案。翻身後同時應為新姿勢的骨突處減壓（墊枕、每2小時翻身）。",[24,26,28,30],{"term":25,"count":10},"臥位壓力點",{"term":27,"count":10},"側臥受壓外踝(踝部)",{"term":29,"count":10},"仰臥壓力點(枕骨\u002F尾椎\u002F足跟)",{"term":31,"count":10},"壓傷評估與翻身",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-medical-surgical-007","有關不同類型腦血管意外的敘述，下列何者正確？",7,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-medical-surgical-023","有關接受鼻竇手術病人的護理指導，下列何者錯誤？",23,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-medical-surgical-037","有關白血病病人接受異體骨髓移植後出現合併症之敘述，下列何者錯誤？",37,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-medical-surgical-075","有關急救使用手壓式甦醒球面罩（Ambu Bag mask）給與人工呼吸的敘述，下列何者正確？",75,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-medical-surgical-019","下列何者不是骨質疏鬆症之危險因素？",19,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-013","有關病人股骨骨折後牽引的護理措施，下列敘述何者最適當？①牽引重力應垂直懸空不可擺動 ②摩擦力愈小，牽引拉力愈大 ③應以罩單覆蓋在牽引繩上，以減少感染 ④應視病人需要，隨時調整牽引重量 ⑤牽引力應與骨頭的長軸平行",13,114,3,"2026-09-04",1788510720770]