[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-110-2-產兒科護理學-071","nurse-110-2-maternal-pediatric-071",110,2,71,"小名，14 歲，因左膝尖銳性疼痛、腫脹入院，醫師診斷為骨肉瘤（osteosarcoma）並進行截肢手術，下列護理措施何者不適當？",{"A":14,"B":15,"C":16,"D":17},"觀察殘肢是否有出血、滲液或發炎","評估幻肢痛，視需要使用藥物和神經阻斷法改善疼痛","截肢術後立即以彈性繃帶固定殘肢，以預防攣縮","截肢術後立即裝置永久性義肢，以減輕殘肢水腫","D",null,[],"本題考點是骨肉瘤截肢術後的護理措施。考點在於殘肢照護、幻肢痛評估與義肢裝置時機。選項D「截肢術後立即裝置永久性義肢以減輕殘肢水腫」不適當，術後殘肢仍會腫脹、體積會改變，須待傷口癒合、殘肢定型後才製作與裝置永久義肢，初期僅用暫時性義肢或彈繃塑型，故D為答案。A觀察殘肢有無出血、滲液或發炎，是術後基本監測，正確；B評估幻肢痛並視需要以藥物或神經阻斷改善，符合截肢後常見的幻肢痛照護，正確；C術後以彈性繃帶固定塑型殘肢、預防攣縮與促進定型，正確。故唯D的義肢時機錯誤。","截肢術後照護:早期監測出血(床邊備止血帶)、殘肢彈繃塑型防水腫與攣縮、擺位避免髖膝屈曲攣縮、及早活動與復健。幻肢感\u002F幻肢痛為截肢常見神經現象，可用藥物、鏡像治療、神經阻斷處理。永久義肢須待殘肢消腫定型(數週至數月)。記憶:先塑型再定型後裝義肢;彈繃防腫防攣縮。可連結:骨肉瘤好發長骨幹骺端(如股骨遠端、脛骨近端)、青少年;治療含化療加手術。",[24,26,29,31],{"term":25,"count":10},"骨肉瘤",{"term":27,"count":28},"截肢術後護理",1,{"term":30,"count":28},"幻肢痛",{"term":32,"count":28},"義肢裝置時機",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-072","小花，3 個月大，診斷為先天性甲狀腺功能低下，有關其疾病之臨床表徵，下列敘述何者正確？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-022","坐月子期間純母乳哺餵的母親表示：「為什麼寶寶一喝完奶就解便、大便總是稀稀糊糊的？」下列護理指導何者最適當？",22,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-maternal-pediatric-010","胎兒為頭產式，胎頭呈部分屈曲，其最可能以下列那條徑線通過產道？",10,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-014","有關產婦執行凱格爾氏運動（Kegel’s exercise）的護理指導，下列何者錯誤？",14,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-maternal-pediatric-008","有關胎兒呼吸系統發育之敘述，下列何者正確？",106,"2026-09-04",1788510730293]