[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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-111-2-內外科護理學-003","nurse-111-2-medical-surgical-003",111,2,3,"有關椎間盤突出手術治療的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"經皮內視鏡椎間盤切除術，因脊椎穩定度低，通常需住院一星期以上","術後傷口癒合後，可進行威廉氏運動加強下背部的肌肉力","穿背架時先穿一件厚一點的內衣保護皮膚","術後二週傷口癒合後即可恢復原來的活動型態","B",null,[],"本題考點在椎間盤突出手術的術後照護，要選正確者。B正確：傷口癒合後可做威廉氏運動(William's flexion exercise)，藉屈曲動作強化腹肌與下背肌群、減輕腰椎前凸與神經壓迫。A錯誤，經皮內視鏡椎間盤切除術屬微創、對脊椎穩定度影響小，通常短期住院甚至日間手術，不需住院一週以上；C錯誤，穿背架應貼身穿薄的棉質內衣以吸汗保護皮膚，穿厚內衣反而摩擦不適；D錯誤，術後恢復原活動須循序漸進、依復原情況數週至數月，兩週即恢復原型態過早。","威廉氏屈曲運動針對下背痛，以骨盆後傾、屈膝抱胸、仰臥起坐等強化腹肌並伸展背伸肌；相對的麥肯基(McKenzie)伸展運動以後伸為主，適用不同機轉。椎間盤術後衛教核心為避免彎腰搬重、久坐與扭轉、維持核心肌力。可連結椎間盤突出好發L4-L5、L5-S1與坐骨神經痛延伸複習。",[24,26,29,31],{"term":25,"count":10},"背架使用",{"term":27,"count":28},"椎間盤突出手術",1,{"term":30,"count":28},"威廉氏屈曲運動",{"term":32,"count":28},"微創內視鏡手術",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-004","有關誘發腦下垂體中風原因的敘述，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-medical-surgical-020","有關骨質疏鬆症病人對於護理指導之回覆，下列何者表示病人已經清楚指導內容？",20,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-034","張小姐，42 歲，診斷為乳癌第二期，日前進行癌症治療，有關腫瘤標記之敘述，下列何者錯誤？",34,{"webId":48,"stem":49,"number":10,"year":50,"session":11},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",113,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-115-1-medical-surgical-006","有關急性胰臟炎的敘述，下列何者正確？",6,115,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-106-2-medical-surgical-020","有關全髖關節置換術病人出院之護理指導，下列何者正確？",106,"2026-09-04",1788510738273]