[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-046","nurse-110-2-medical-surgical-046",110,2,46,"有關蜂窩性組織炎病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抬高患肢，以促進靜脈回流減輕腫脹","觀察及記錄患部皮膚紅腫範圍、溫度變化及疼痛情形","患部無傷口時，可以用熱敷來減輕炎症反應，緩解疼痛","鼓勵病人臥床休息，且病灶處須制動，以防止感染擴散","C",null,[],"本題考點在蜂窩性組織炎的護理原則,屬急性細菌感染的發炎期。患部無傷口時給予熱敷會使局部血管擴張、代謝增加,反而可能助長細菌繁殖並加重紅腫熱痛,故選項C為錯誤處置。抬高患肢促進靜脈回流以減輕腫脹屬正確;觀察並記錄紅腫範圍、溫度與疼痛可監測病程進展,亦正確;鼓勵臥床休息、病灶處制動能避免感染沿淋巴擴散,同樣正確。故C與正確護理原則相違,為本題答案。","蜂窩性組織炎多由A群鏈球菌或金黃色葡萄球菌經皮膚破損侵入真皮與皮下組織,表現為界線不清的紅腫熱痛。急性發炎期原則是抬高、制動、冰敷(非熱敷)以減少充血與擴散,並依培養結果給予抗生素。記憶重點:急性感染發炎期避免熱敷;熱敷多用於慢性期促進吸收。可連結丹毒(erysipelas)界線分明、侵犯較表淺真皮與淋巴管的鑑別。",[24,27,30,33,35],{"term":25,"count":26},"抬高患肢",6,{"term":28,"count":29},"蜂窩性組織炎",3,{"term":31,"count":32},"急性發炎期",1,{"term":34,"count":32},"熱敷禁忌",{"term":36,"count":32},"感染擴散",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-medical-surgical-047","有關燒傷病人敷料應用的敘述，下列何者錯誤？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-medical-surgical-063","張先生 50 歲，患有糖尿病腎病變，下列治療何項錯誤？",63,111,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-111-2-medical-surgical-077","有關服用有機磷中毒的護理措施，下列何者錯誤？",77,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-112-3-medical-surgical-035","病人的動脈血液氣體分析報告為 pH 7.36，PaO 2 88 mmHg，PaCO 2 50 mmHg，HCO 3- 25 mEq\u002FL，下列措施何者應為最優先？",35,112,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-114-1-medical-surgical-039","陳先生，88歲，因全身水腫，呼吸喘至急診求治，診斷為急性腎衰竭，下列敘述何者正確？",39,114,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-115-2-medical-surgical-033","黃先生因肺癌接受右全肺切除術（pneumonectomy），下列術後護理措施，何者最適當？①需確認術後胸腔水下引流系統是完整且功能正常 ②協助執行右側肩膀及手臂運動，以防關節黏滯導致冰凍肩 ③告知術後 3～6 個月，右側胸部傷口處肌肉較無力是正常的 ④教導術後盡量採左側躺，以利於剩餘肺臟的擴張",33,115,"2026-09-04",1788510729223]