[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":27},"nurse-111-2-基本護理學與護理行政-027","nurse-111-2-fundamental-nursing-027",111,2,27,"有關不宜使用熱療法的高危險情況與原因的理論依據，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"開放性傷口，因對溫度改變不敏感，且溫覺接受器增加，所以容易引起燙傷","局部惡性腫瘤，會促進血流增加，癌細胞獲得更多氧氣與養分，加速其轉移","頭部外傷，會降低血管的通透性，抑制血管與組織間液體的交換，導致腦水腫","末梢血管疾病，因循環及局部組織缺損，增加的熱能易於散發，易導致組織損傷","B",null,[],"本題考點是不宜使用熱療的高危情況及其理論依據。依熱療促進血流的原理,局部惡性腫瘤處施熱會增加血流,使癌細胞獲得更多氧氣與養分,可能加速生長與轉移,故此為熱療禁忌,B敘述之因果正確,為正解。A錯誤,開放性傷口的問題在於組織屏障破損、易感染與燙傷,而非「溫覺接受器增加」。C錯誤,頭部外傷禁熱是因熱使血管擴張、增加顱內血流與腦水腫風險,而非「降低通透性抑制液體交換」。D錯誤,末梢血管疾病因循環不良、散熱差反而易蓄熱燙傷,非「熱能易於散發」。考點在於辨識各禁忌背後正確的病生理依據。","熱療禁忌的共同機轉是血管擴張與代謝上升帶來的風險:腫瘤處增供氧養分助長轉移;頭部外傷或急性期增加腦血流致水腫、升顱內壓;末梢循環障礙(如糖尿病、周邊動脈疾病)因感覺遲鈍加散熱不良易燙傷;急性發炎與出血遇熱加重滲出。記憶:熱=更多血流,凡是「多血流會壞事」的部位都禁熱—腫瘤、出血、腦傷、缺血肢。理論依據題須抓住因果方向是否正確,而非只看結論。",[25,28,31,33],{"term":26,"count":27},"熱療禁忌",3,{"term":29,"count":30},"腫瘤血流供養",1,{"term":32,"count":30},"顱內壓與腦水腫",{"term":34,"count":30},"末梢循環障礙",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-2-fundamental-nursing-028","邱先生發高燒，體溫 39℃，醫囑開立溫水拭浴使用，護理師為病人執行溫水拭浴時，水溫應該準備幾度？",28,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-112-1-fundamental-nursing-044","有關死亡後遺體的變化，下列敘述何者正確？",44,112,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-112-2-fundamental-nursing-058","有關規劃的原則，下列敘述何者正確？",58,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-113-3-fundamental-nursing-026","根據下列四位住院病人生命徵象測量的結果，何者最為緊急需優先處理？",26,113,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-115-1-fundamental-nursing-030","剛接受完手術病人，促進蛋白質合成及組織修復對病人特別重要，此作用發生於睡眠週期的那一期？",30,115,{"webId":60,"stem":61,"number":43,"year":62,"session":11},"nurse-106-2-fundamental-nursing-044","有關影響血壓的因素，下列何者錯誤？",106,"2026-09-04",1788510737713]