[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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":26},"nurse-111-2-內外科護理學-020","nurse-111-2-medical-surgical-020",111,2,20,"有關上石膏病人的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"若石膏肢體遠端皮膚顏色呈現蒼白或冰冷，表示動脈循環受阻","若石膏肢體遠端出現不尋常腫脹，表示靜脈回流受阻","若石膏表面出現灼熱點，表示石膏內的肢體有感染的情形","若聞到石膏有酸味，表示石膏內的肢體有組織壞死或感染","D",null,[],"本題考點在上石膏病人的觀察指導，要選錯誤者。D敘述有誤：新上的石膏在乾燥過程本會散發氣味，單憑酸味尚不足以斷定石膏內組織壞死或感染；真正組織壞死感染的特徵是持續性惡臭、合併灼熱點與滲液，故D把石膏酸味直接等同壞死感染的說法不正確為答案。A正確，遠端蒼白冰冷代表動脈循環受阻；B正確，遠端不尋常腫脹代表靜脈回流受阻；C正確，石膏表面出現局部灼熱點提示其下有感染或壓迫。故錯誤者為D。","石膏護理觀察以神經血管評估(5P)為核心：疼痛(Pain)、蒼白(Pallor)、感覺異常(Paresthesia)、無脈(Pulselessness)、麻痺(Paralysis)，警覺腔室症候群。感染徵象為石膏下持續惡臭、灼熱點(hot spot)、發燒與滲液。新石膏乾燥期會發熱與有味屬正常，須與感染區辨。可連結腔室症候群為骨科急症延伸複習。",[24,27,29,32],{"term":25,"count":26},"石膏護理",4,{"term":28,"count":26},"腔室症候群",{"term":30,"count":31},"神經血管評估5P",1,{"term":33,"count":31},"石膏下感染徵象",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-021","有關骨科手術合併症的敘述，下列何者錯誤？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-medical-surgical-037","周女士，52 歲，本身有高血壓及乳癌家族史，有抽菸，在一次回診時表示自己年紀越來越大，很擔心會跟媽媽一樣罹癌，下列建議何者錯誤？",37,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-medical-surgical-051","評估一位氣胸且剛接上胸管病人的胸腔水下引流系統裝置，下列何者為不正常現象？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-medical-surgical-019","評估靜脈曲張之靜脈瓣功能的檢查，下列何者正確？①逆流型充盈試驗（retrograde filling test） ②艾倫測驗（Allen’s test） ③霍曼氏徵象（Homan sign） ④手壓測驗（manual compression test）",19,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-115-1-medical-surgical-023","王老太太因便秘、意識不清，家屬送至急診求治，發現有心律不整的問題，下列何者是王老太太最有可能發生的問題？",23,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-medical-surgical-037","有關缺鐵性貧血口服鐵劑護理措施的敘述，下列何者錯誤？",106,"2026-09-04",1788510738423]