[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-018","nurse-110-2-medical-surgical-018",110,2,18,"有關腔隙症候群的處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"肢體抬高超過心臟","患肢冷熱敷","彈繃加壓包紮","去除敷料、夾板或石膏","D",null,[],"本題考點在於腔隙症候群(compartment syndrome)的緊急處置。此症因筋膜腔內壓力上升壓迫血管神經，處置核心是「解除壓迫、恢復灌流」，因此D去除敷料、夾板或石膏以釋放腔內壓力為正確處置。肢體抬高超過心臟(A)會降低動脈灌流壓、加重缺血，患肢應平放於心臟高度。冷熱敷(B)中冰敷使血管收縮減少灌流、熱敷增加代謝需氧，皆不利。彈繃加壓包紮(C)直接增加外在壓力，使腔內壓更高，屬禁忌。故唯一正確為去除外在束縛D。","病生理為「腔內壓↑→靜脈回流受阻→微血管壓↑→組織缺血→水腫再升壓」的惡性循環。經典6P：Pain(被動牽拉劇痛)、Paresthesia、Pallor、Pulselessness、Paralysis、Poikilothermia。黃金處置窗約六至八小時，過久需筋膜切開術(fasciotomy)。記憶口訣「壓力病要減壓：平放、鬆綁、勿加壓勿冰熱」。可連結概念：石膏護理、Volkmann攣縮、擠壓症候群。",[24,27,30,32],{"term":25,"count":26},"組織灌流",5,{"term":28,"count":29},"筋膜切開術",3,{"term":31,"count":10},"腔隙症候群",{"term":33,"count":34},"筋膜腔內壓",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-019","王先生，診斷痛風性關節炎，正服用秋水仙素（Colchicine）。有關此藥物的護理指導，下列何者正確？",19,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-medical-surgical-035","有關缺鐵性貧血病人的護理措施，下列何者正確？①教導病人使用吸管吸食液態鐵劑 ②鼓勵病人飯後服用鐵劑以增加鐵的吸收 ③鼓勵病人多攝取富含維生素 C 的食物 ④注射鐵劑後應避免立即拔出針頭",35,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-medical-surgical-049","有關愛滋病病人護理指導的敘述，下列何者正確？",49,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-3-medical-surgical-007","若母親的 HBsAg 與 HBeAg 皆為陽性，其所生的新生兒於出生 24 小時內需接受下列何種注射？",7,112,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-114-1-medical-surgical-011","有關痛風性關節炎護理指導之敘述，下列何者正確？",11,114,{"webId":60,"stem":61,"number":26,"year":62,"session":10},"nurse-115-2-medical-surgical-005","當腦瘤病人出現噴射性嘔吐時，腫瘤最可能壓迫到下列那一個部位？",115,"2026-09-04",1788510728924]