[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-028":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":10},"nurse-111-1-內外科護理學-028","nurse-111-1-medical-surgical-028",111,1,28,"有關心絞痛病人接受股動脈經皮穿腔冠狀動脈血管成形術（PTCA）之術後護理，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"監測雙側肢體之脈搏","監測心電圖","鼓勵病人多飲水","鼓勵病人行下肢全關節主動運動","D",null,[],"本題考點是經股動脈施行 PTCA(經皮穿腔冠狀動脈血管成形術)的術後護理,採否定題。依術後照護原則,穿刺點在股動脈,術後須患肢『制動、伸直』並臥床加壓數小時以防穿刺處出血或血腫,故選項 D『鼓勵病人行下肢全關節主動運動』會牽動穿刺處導致出血,屬錯誤護理,選 D。A 正確,須監測雙側肢體脈搏以評估遠端血流與有無栓塞或出血。B 正確,監測心電圖以早期發現心肌缺血或心律不整。C 正確,鼓勵多飲水以促進顯影劑排出、預防對比劑腎病變。","股動脈途徑 PTCA 術後三大重點:①穿刺處—患肢伸直制動、加壓沙袋、臥床(依醫囑數小時),觀察出血、血腫、假性動脈瘤;②遠端循環—監測足背\u002F脛後動脈搏動、膚溫、顏色、感覺(6P 評估);③全身—心電圖看再狹窄或缺血,水化排顯影劑護腎。故『鼓勵患肢主動全關節運動』與制動原則直接牴觸。橈動脈途徑則制動需求較低,恢復較快。",[24,26,28,30],{"term":25,"count":10},"PTCA 術後護理",{"term":27,"count":10},"股動脈穿刺處制動",{"term":29,"count":10},"監測遠端脈搏",{"term":31,"count":10},"水化排除顯影劑",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-029","有關裝置心臟節律器之護理指導，下列何者錯誤？",29,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-045","皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",45,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-059","有關膀胱炎之敘述，下列何者最適宜？",59,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-047","有關休克病人體溫下降之護理措施，下列何者正確？",47,113,{"webId":53,"stem":54,"number":10,"year":55,"session":56},"nurse-114-3-medical-surgical-001","有關癲癇病人的症狀及其治療，下列敘述何者最不適當？",114,3,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-045","有關燒傷病人利尿期出現代謝性酸中毒之原因，下列何者錯誤？",106,"2026-09-04",1788510734479]