[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-1-基本護理學與護理行政-033","nurse-111-1-fundamental-nursing-033",111,1,33,"利用圓滾木翻身法協助病患翻向右側，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"常用於協助脊椎病人術後改變姿位","翻身時應保持病人身體脊椎平直","可利用翻身單以協助病人翻身","應於病人兩腳的膝膕處放置枕頭","D",null,[],"本題考點為圓滾木翻身法(logrolling)的原則,選「錯誤」者。D 敘述錯誤:圓滾木翻身用於脊椎受傷或術後病人,目的是維持脊椎軸線平直、整個身體像滾木一樣同步翻動,故翻身後應在兩腿之間(膝與踝之間)夾放枕頭以維持髖部中線對齊,而非放在「兩腳的膝膕處」下方,選 D。A 正確,常用於脊椎手術後改變姿位以防脊椎扭轉。B 正確,翻身時須全程保持脊椎平直不彎曲扭轉。C 正確,可利用翻身單(draw sheet)由多人合作同步施力翻身。","圓滾木翻身的核心原則是「脊椎軸線一體移動」,避免脊椎任一段承受扭轉或剪力而加重神經損傷。操作要點:至少 2～3 人協同、以翻身單一次同步翻動、頭頸軀幹保持成一直線、翻身後兩腿間夾枕維持髖膝關節對位與功能位置。膝膕(膝窩後方)長時間受壓迫會壓迫膕動脈與腓神經並增深部靜脈栓塞風險,故枕頭不放膝膕正下方。此題陷阱在把「兩腿間夾枕」偷換成「膝膕處放枕」。",[25,28,30,32],{"term":26,"count":27},"圓滾木翻身法",2,{"term":29,"count":11},"脊椎軸線維持",{"term":31,"count":11},"翻身單",{"term":33,"count":11},"枕頭擺位",[35,39,43,48,52,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-fundamental-nursing-034","林女士，乳癌合併肺部、腦部轉移，因為意識不清，無法自我照顧，今早護理師評估口腔時，發現口頰內右側有白色斑點無法清洗掉、左下側則有潰瘍，清洗時會有皺眉，應與醫師討論下列何種處方協助口腔護理？",34,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-111-2-fundamental-nursing-050","邱先生為建築工人，在工地不慎被鋼筋壓傷左腳腳踝，目前需要傷口包紮，下列措施何者正確？",50,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-064","某加護病房 8 月份平均有 23 位護理人力，離職 5 位，該單位在 8 月的流動率（%）約為多少？",64,112,{"webId":49,"stem":50,"number":27,"year":51,"session":27},"nurse-113-2-fundamental-nursing-002","孕婦懷孕 6 個月，近日感覺會陰部極癢，且陰道有黃色分泌物流出，自我沖洗外陰部後，仍舊感到難以忍受，因此決定尋求婦產科醫師診治，依馬斯洛（Maslow）的五大需求階層理論，此時孕婦最需滿足的需求是：",113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-fundamental-nursing-006","下列何者屬於主觀資料？",6,114,3,{"webId":59,"stem":60,"number":42,"year":61,"session":11},"nurse-106-1-fundamental-nursing-050","有關張先生入院時的心理反應和護理措施，下列敘述何者不適當？",106,"2026-09-04",1788510733728]