[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":65},"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-111-2-基本護理學與護理行政-046","nurse-111-2-fundamental-nursing-046",111,2,46,"張先生長期仰臥在床上，若未採取預防措施，其髖關節最容易發生何種變化？",{"A":15,"B":16,"C":17,"D":18},"外旋（exterenal rotation）","外展（abduction）","內旋（inteneral rotation）","內翻（inversion）","A",null,[],"本題考點為長期臥床導致的關節攣縮方向。考點在於仰臥時下肢重量與髖關節結構使股骨自然向外倒，若無支托，髖關節最易發生外旋（external rotation），故選 A。此變化常合併足下垂，護理上以砂袋或大轉子捲軸（trochanter roll）預防。B 外展是遠離身體中線，非重力自然趨勢。C 內旋方向與仰臥時股骨外倒相反。D 內翻屬足踝動作，非髖關節主要攣縮型態。判別關鍵是重力對髖關節的自然作用方向，其餘選項皆非典型臥床攣縮。","仰臥時髖關節缺乏外側支托，股骨頭在髖臼內因下肢重量與髂腰肌、臀肌張力失衡而外轉，長期未矯正即形成攣縮，影響日後行走。大轉子捲軸置於大腿外側，可從力學上阻擋股骨外倒，是最直接的預防設計。對比記憶：髖關節怕「外旋」、足踝怕「下垂內翻」、膝關節怕「屈曲攣縮」，臥床擺位即針對這些重力弱點逐一支托。",[25,27,29,31,34],{"term":26,"count":11},"髖關節外旋",{"term":28,"count":11},"大轉子捲軸",{"term":30,"count":11},"關節攣縮",{"term":32,"count":33},"長期臥床",1,{"term":35,"count":33},"肢體擺位",[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-111-2-fundamental-nursing-047","有關腕關節過度伸展的敘述，下列何者正確？",47,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-112-1-fundamental-nursing-063","某病房護理長依照工作時段的特性安排白班、小夜班、大夜班照護人力，下列何者的配置比例最適宜？",63,112,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-112-2-fundamental-nursing-077","有關醫療常用的風險管理工具，下列何者屬於事前分析？",77,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-113-3-fundamental-nursing-045","有關組織中分權的特性，下列何者正確？",45,113,3,{"webId":57,"stem":58,"number":59,"year":60,"session":33},"nurse-115-1-fundamental-nursing-049","有關問題解決的處理原則，下列敘述何者正確？",49,115,{"webId":62,"stem":63,"number":44,"year":64,"session":11},"nurse-106-2-fundamental-nursing-063","發展病人分類系統的優點，下列何者不包含在內？",106,"2026-09-04",1788510737925]