[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-016":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-016","nurse-110-1-medical-surgical-016",110,1,16,"有關膽道疾病手術後放置 T 型管的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"引流液顏色應為棕綠色","引流液的量應會逐漸減少","每日需定時執行 T 型管沖洗","活動時，引流袋位置宜低於腰部以下","C",null,[],"本題考點為膽道手術後 T 型管(T-tube)的護理措施,題目要選錯誤者。依原則,T 型管引流的是膽汁,管路須維持密閉引流以防感染與膽汁逆流,不可任意沖洗,故選項 C『每日需定時執行 T 型管沖洗』為錯誤,答案選 C。選項 A 正確,正常膽汁引流液顏色應為棕綠色(墨綠至金黃綠);選項 B 正確,術後隨總膽管水腫消退、膽汁改由膽道流入十二指腸,引流量應逐漸減少;選項 D 正確,活動時引流袋須低於膽囊\u002F腰部以利重力引流並防逆流。故唯 C 的『定時沖洗』違反密閉引流原則。","T 型管照護重點:維持通暢與密閉、記錄引流量與顏色、袋子低於傷口防逆流。正常量術後第一天約 300–500 mL,之後遞減;若量突增或突減、腹痛發燒須警覺阻塞或滲漏。拔管前常先夾管並做 T 管攝影確認總膽管通暢。常規『沖洗』會破壞無菌密閉、增加上行性膽道感染風險,故非常規措施。",[24,26,28,30],{"term":25,"count":10},"T 型管護理",{"term":27,"count":10},"膽汁引流密閉原則",{"term":29,"count":10},"引流液棕綠色",{"term":31,"count":10},"引流袋低於腰部",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"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,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-medical-surgical-033","評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",33,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-medical-surgical-047","有關燒傷深度的敘述，下列何者錯誤？",47,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-medical-surgical-005","有關病人因腦腫瘤引起顱內壓升高的症狀與徵象，下列敘述何者錯誤？",5,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-medical-surgical-029","有關全身性紅斑性狼瘡之醫療處置之敘述，下列何者錯誤？",29,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-023","服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",23,114,3,"2026-09-04",1788510720870]