[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-005":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-111-1-內外科護理學-005","nurse-111-1-medical-surgical-005",111,1,5,"有關巴金森氏症病人日常生活護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"行走時可使用助行器來維持平衡","衣服儘量選擇以魔鬼氈代替釦子","儘量多休息以減少活動產生震顫","馬桶可提高坐墊方便坐下或起身","C",null,[],"本題考點是巴金森氏症的日常活動照護原則。依巴金森氏症的病理是黑質多巴胺神經退化,導致靜止性震顫、僵直、動作遲緩與姿勢不穩,照護核心是在安全前提下維持並鼓勵活動,以延緩肌肉僵硬與失能。選項 C「儘量多休息以減少震顫」方向錯誤,過度不動反而加重僵直、關節攣縮與失用,且靜止性震顫的特徵是休息時明顯、活動時反而減輕,故 C 為錯誤敘述,選 C。A 正確,助行器有助姿勢不穩者維持平衡、防跌。B 正確,魔鬼氈取代鈕釦可克服手部動作遲緩、方便自理。D 正確,加高馬桶座墊可減少下肢起坐困難,利於自理與防跌。","關鍵鑑別:巴金森為『靜止性震顫』(resting tremor,休息時明顯、動作時減輕),與小腦病變的『意向性震顫』相反,所以叫病人多休息不動不但不能止顫,還會惡化僵直與攣縮。照護主軸是主動活動與復健(關節運動、步態訓練、擺臂),搭配環境改造(去除門檻、加高座椅、魔鬼氈衣物)。四大症狀口訣 TRAP:Tremor 震顫、Rigidity 僵直、Akinesia\u002Fbradykinesia 動作遲緩、Postural instability 姿勢不穩。",[24,27,30,33],{"term":25,"count":26},"巴金森氏症",7,{"term":28,"count":29},"多巴胺缺乏",3,{"term":31,"count":32},"靜止性震顫",2,{"term":34,"count":10},"維持活動與防跌",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-medical-surgical-006","有關頭部創傷之敘述，下列何者正確？",6,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-111-2-medical-surgical-022","有關白內障的晶體乳化法手術的敘述，下列何者錯誤？",22,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-medical-surgical-036","有關異體周邊血液幹細胞移植之敘述，下列何者正確？",36,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-medical-surgical-024","病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",24,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-114-2-medical-surgical-028","有關疥瘡的敘述，下列何者錯誤？",28,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-medical-surgical-022","有關急性中耳炎感染途徑之敘述，下列何者錯誤？",106,"2026-09-04",1788510734237]