[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":25},"nurse-111-1-內外科護理學-019","nurse-111-1-medical-surgical-019",111,1,19,"王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",{"A":14,"B":15,"C":16,"D":17},"肺栓塞","骨髓炎","脂肪栓塞","低血容積休克","B",null,[],"本題考點是開放性骨折後的感染性合併症判讀。依題幹線索,開放性骨折(骨骼與外界相通,細菌易入侵)返家後出現發燒、寒顫、躁動不安、患肢『持續性』疼痛及拒絕移動或觸碰患肢,這組症狀符合骨髓炎(骨組織感染)的典型表現,故選 B。A 肺栓塞以突發呼吸困難、胸痛、血氧下降為主,非局部患肢感染表現。C 脂肪栓塞多在長骨骨折後 24～72 小時內出現呼吸窘迫、意識改變與皮膚點狀出血,與返家數日後之局部感染徵象不符。D 低血容積休克表現為血壓下降、心搏過速、皮膚濕冷,屬急性失血反應,與發燒寒顫的感染表現不同。","開放性骨折=骨頭直接暴露於污染環境,最擔心的晚期併發症就是骨髓炎。骨髓炎判讀線索:全身感染徵象(發燒、寒顫)+局部持續性深部疼痛、紅腫熱、拒動患肢。鑑別栓塞類併發症的『時間軸』:脂肪栓塞多在傷後 1～3 天內、以肺與腦症狀為主;肺栓塞以急性呼吸循環表現為主。本題以『發燒寒顫+局部持續痛+返家數日』鎖定感染性骨髓炎。處置:抗生素療程、必要時清創引流。",[24,26,28,30],{"term":15,"count":25},5,{"term":27,"count":10},"開放性骨折",{"term":29,"count":10},"感染性合併症判讀",{"term":31,"count":10},"與脂肪栓塞鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-020","有關痛風藥物 Probenecis（Benemid）的主要作用，下列何者正確？",20,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-036","有關癌症疼痛三階梯止痛療法的敘述，下列何者正確？",36,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",50,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-038","下列那些檢查前需要確認病人腎功能？①腎動脈攝影術 ②腎臟、輸尿管、膀胱X光檢查 ③腎臟超音波 ④逆行性腎盂攝影術 ⑤靜脈注射腎盂攝影術",38,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-042","有關腦下垂體前葉分泌的激素，下列何者正確？①生長素（growth hormone） ②促乳素（prolactin） ③催產素（oxytocin） ④抗利尿素（ADH）",42,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-036","有關惡性腫瘤特性之敘述，下列何者錯誤？",106,"2026-09-04",1788510734391]