[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-073","nurse-110-1-medical-surgical-073",110,1,73,"有關糖尿病足之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"足部保持乾燥，勿擦拭任何乳液","足部要使用熱水袋或電毯保暖","出門要穿涼鞋，以避免香港腳","穿鞋前要先檢視鞋內有否異物","D",null,[],"本題考點在於糖尿病足的自我照護指導。糖尿病病人因周邊神經病變致感覺遲鈍，穿鞋前應先檢視鞋內是否有異物，避免因無感覺而受傷，故選D。選項A錯在足部應保持適度滋潤、可擦拭乳液以防龜裂（趾縫除外），並非完全禁用乳液。選項B錯在因感覺遲鈍，使用熱水袋或電毯易造成無察覺的燙傷，屬禁忌。選項C錯在涼鞋易使足部外露、增加碰撞與外傷風險，應穿包覆性合腳鞋襪保護足部，而非以穿涼鞋預防香港腳。故照護指導正確者為D。","糖尿病足病生理三合一：周邊神經病變（感覺喪失致無痛性外傷）、周邊血管病變（缺血致傷口難癒）、免疫與感染易感性，三者疊加使小傷口惡化成潰瘍甚至截肢。照護口訣「每日檢查、保持乾爽滋潤、水溫先測、勿赤足、選合腳鞋、剪趾甲平直、勿自行處理雞眼」。禁忌重點：熱敷\u002F熱水袋、赤腳、過緊鞋襪、自行修剪厚繭。可連結：周邊神經病變、周邊血管病變、足部潰瘍、水溫先測原則。",[24,27,30,32],{"term":25,"count":26},"周邊神經病變",5,{"term":28,"count":29},"糖尿病足",3,{"term":31,"count":10},"足部自我檢查",{"term":33,"count":10},"燙傷預防",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-074","長期接受血液透析的病人，突然意識改變、出現抽筋及肌肉無力情況，入急診求治，抽血檢查結果：尿素氮／肌酸酐 120 mg\u002FdL／10.6 mg\u002FdL、鉀離子 7.8 mg\u002FdL、鈉離子 135 mg\u002FdL，動脈血液氣體分析結果：pH 7.28、PaO 70 mmHg、PaCO 30 mmHg、 HCO _ 20 mEq\u002FL。下列判斷何者正確？ 2 2 3",74,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-medical-surgical-010","有關肝硬化引起腹水機轉之敘述，下列何者正確？",10,111,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-111-2-medical-surgical-024","有關鼻咽癌病人接受放射線治療的敘述，下列何者錯誤？",24,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-112-2-medical-surgical-062","有關腎病症候群之臨床表徵，下列何者正確？①高白蛋白血症 ②出現蛋白尿 ③高血脂症 ④血中膠體滲透壓上升",62,112,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-113-3-medical-surgical-036","朱先生為慢性阻塞性肺病（COPD）病人，使用氧氣鼻套管 2L／分鐘，主訴呼吸喘，朱太太要求護理師將氧氣流量調高。下列何者為最適當的反應？",36,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-030","有關類風濕性關節炎藥物治療之敘述，下列何者正確？",30,115,"2026-09-04",1788510721490]