[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-110-2-內外科護理學-017","nurse-110-2-medical-surgical-017",110,2,17,"有關痔瘡術後的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"手術後 12 小時可使用溫水坐浴，以減輕疼痛與腫脹","開刀後採側躺或俯臥姿勢，避免壓迫肛門傷口","8 小時若有二塊以上會陰部敷料浸溼，表示傷口出血","手術後初期鼓勵病人攝取高纖維食物","D",null,[],"本題考點在於痔瘡術後護理措施的正確與否，須挑出錯誤者。依傷口癒合原則，術後初期腸道與傷口需要休息，飲食應先採低渣，待傷口穩定後才漸進增加纖維以軟便防便祕，因此D「手術後初期即鼓勵高纖維食物」的時機錯誤，為本題答案。溫水坐浴可促進血液循環、減輕肛門疼痛與腫脹，A正確。側躺或俯臥可避免壓迫肛門傷口，B正確。會陰敷料八小時內浸溼達二塊以上，提示傷口滲血須進一步評估，C正確。故錯誤者為D。","重點在「時機」而非「高纖維本身錯」。術後即刻高纖維可能刺激腸蠕動、增加排便對縫合傷口的張力；正確順序是初期低渣→穩定後高纖維+足量水分+軟便劑，長期維持排便通暢以防復發。溫水坐浴(sitz bath)每次約十五至二十分鐘，兼具清潔與舒緩。記憶口訣「先低渣休息、後高纖維防秘」。可連結概念：傷口癒合期、坐浴適應症、便祕預防。",[24,27,30,32],{"term":25,"count":26},"溫水坐浴",3,{"term":28,"count":29},"痔瘡術後護理",1,{"term":31,"count":29},"低渣與高纖維時機",{"term":33,"count":29},"傷口出血評估",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-medical-surgical-018","有關腔隙症候群的處置，下列何者正確？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-medical-surgical-034","下列何者是心肌梗塞最常見且會導致死亡的併發症？",34,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-medical-surgical-048","有關過敏反應護理指導的敘述，下列何者錯誤？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-3-medical-surgical-006","下列何者不屬於腦幹功能評估？",6,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-114-1-medical-surgical-010","有關食道憩室的敘述，下列何者正確？",10,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-004","有關以格拉斯哥昏迷量表（GCS）測量病人意識程度變化之敘述，下列何者正確？",4,115,"2026-09-04",1788510728918]