[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-111-1-基本護理學與護理行政-047","nurse-111-1-fundamental-nursing-047",111,1,47,"王太太，70 歲，尾骶骨第二期壓傷，下列衛教指導，何者正確？①每 3～4 小時幫病人翻身一次 ②飲食中要注意補充蛋白質與維生素 C，以促進組織的修復 ③尾骶骨處使用氣墊圈，促進血液循環 ④平躺時可於病人小腿處置放小枕頭，使腳跟處騰空，避免腳跟受壓",{"A":15,"B":16,"C":17,"D":18},"①②","①③","②③","②④","D",null,[],"本題考點為第二期壓傷的正確衛教組合。②飲食補充蛋白質與維生素 C 可促進膠原合成與組織修復,是壓瘡照護的重要營養原則,正確;④平躺時於小腿處墊小枕使腳跟騰空、避免腳跟受壓,是預防腳跟壓瘡的正確做法,正確;故選 D(②④)。①錯在翻身頻率應「每 2 小時」一次以有效減壓,「每 3～4 小時」間隔過久,不足以預防壓瘡惡化。③錯在氣墊圈(甜甜圈型)會集中壓迫圈狀接觸處、阻礙局部血液循環反而加重組織缺血,現已不建議使用。整體考的是壓瘡照護中營養、減壓與正確輔具的判斷。","壓瘡分期:第一期為完整皮膚持續發紅(壓不退白);第二期為部分皮層缺損(表皮或真皮,如水泡、淺潰瘍)。照護核心:減壓(至少每 2 小時翻身、使用減壓床墊)、營養(高蛋白、維生素 C 與鋅助膠原合成與傷口癒合)、保持傷口濕潤環境與周邊皮膚乾爽。禁用氣墊圈,因其環狀壓迫使中央區血流受阻、周邊組織缺血,反造成新壓瘡。腳跟懸空(小腿下墊枕)可完全卸除腳跟壓力,優於僅墊腳跟。",[25,27,29,31],{"term":26,"count":11},"壓瘡照護",{"term":28,"count":11},"每 2 小時翻身",{"term":30,"count":11},"蛋白質與維生素 C",{"term":32,"count":11},"氣墊圈禁用",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-fundamental-nursing-048","有關等長運動（isometric exercise）之敘述，下列何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-111-2-fundamental-nursing-064","有關以熱處理之可燃性生物醫療感染性廢棄物的貯存容器，下列何者正確？",64,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-078","下列何者不屬於經常性支出預算？",78,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-fundamental-nursing-016","輸血時發生咳嗽、心搏過速、高血壓及呼吸困難症狀，最有可能發生下列何種反應？",16,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-fundamental-nursing-020","病人在快走、咳嗽或打噴嚏時常有少量尿液溢出，下列護理措施何者最不適當？",20,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":11},"nurse-106-1-fundamental-nursing-064","下列有關官僚理論（Bureaucracy）敘述何者錯誤？",106,"2026-09-04",1788510733880]