[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-040":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-110-1-內外科護理學-040","nurse-110-1-medical-surgical-040",110,1,40,"有關預防乳癌病人術後淋巴水腫的照護，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"術後第二天才可以操作手指屈曲和腕部伸展運動","爬牆和轉繩運動在有引流管時，就要開始做","側臥時，健臂在上，枕頭夾於腋下到臀部，並將手墊高","臥床時，用枕頭將肩部與患臂墊高，使手腕比手肘高，手肘比肩膀高","D",null,[],"本題考點為乳癌術後預防淋巴水腫的擺位原則。考點在於利用重力促進淋巴與靜脈回流，臥床時以枕頭將患臂墊高，使遠端高於近端（手腕高於手肘、手肘高於肩膀），可引流組織液回流，故 D 正確。A 錯在時機，術後當天即可開始手指屈曲與腕部伸展等遠端運動。B 錯在時機，爬牆與轉繩等大範圍肩關節運動須待引流管拔除後才開始，以免牽扯傷口。C 錯在擺位，側臥時應健側在下、患臂在上並墊高，敘述方向有誤。","淋巴水腫預防機轉：腋下淋巴結廓清後回流路徑受損，須靠姿位引流與肌肉幫浦協助。擺位原則＝遠端高於近端（手腕>手肘>肩），順重力把液體導回軀幹。復健漸進：術後早期做遠端小動作（握球、屈指、腕伸），引流管拔除後再進展至爬牆、轉繩等肩關節大動作。患肢保護：勿於患側量血壓、抽血、打針，避免提重與外傷感染。記憶：由末梢墊高、運動由小到大、患肢要防護。",[24,27,29,31,33],{"term":25,"count":26},"姿位引流",3,{"term":28,"count":10},"乳癌術後",{"term":30,"count":10},"淋巴水腫",{"term":32,"count":10},"患肢抬高",{"term":34,"count":10},"漸進式運動",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-medical-surgical-041","有關骨髓移植後病人產生移植物抗宿主疾病（Graft-versus-host Disease; GVHD）症狀，下列何者錯誤？",41,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-110-2-medical-surgical-057","有關人體酸鹼平衡的敘述，下列何者正確？",57,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-071","有關糖尿病病人足部護理，下列何者正確？①直線修剪趾甲緣 ②每日以溫水浸泡清洗足部 30 分鐘 ③穿著色深、柔軟的尼龍襪，且每日更換 ④足部傷口沖洗後，消毒敷料覆蓋，紙膠固定，應儘速就醫",71,111,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-112-2-medical-surgical-029","有關心臟節律器放置術後護理措施之敘述，下列何者不適宜？",29,112,{"webId":56,"stem":57,"number":26,"year":58,"session":26},"nurse-113-3-medical-surgical-003","墨菲氏徵象（Murphy’s sign）陽性是下列何種疾病的常見特徵？",113,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-114-3-medical-surgical-047","病人誤食含有機磷成分的巴拉松農藥，導致噁心、嘔吐、淚流不止、口水跟痰液很多，送入急診，下列敘述何者最適當？",47,114,"2026-09-04",1788510721160]