[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-112-1-內外科護理學-017","nurse-112-1-medical-surgical-017",112,1,17,"有關骨折病人發生脂肪栓塞之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"好發於長骨骨折的病人","多發生在骨折後 72 小時","獨特表徵是皮膚出現瘀斑","呼吸衰竭是常見的死因","B",null,[],"本題考點在於脂肪栓塞症候群的發生時間與表徵。依病生理,脂肪栓塞多發生在骨折後24至48小時、最遲72小時內,選項稱「多發生在骨折後72小時」把好發時間點延後,故錯誤敘述為B。A的長骨骨折(如股骨)脂肪含量高,是好發族群,正確;C的皮膚出現點狀瘀斑(petechiae)為其獨特表徵,正確;D因脂肪栓子阻塞肺微血管導致低血氧,呼吸衰竭是常見死因,正確。","脂肪栓塞經典三徵:呼吸窘迫(低血氧)、神經症狀(意識改變)、皮膚點狀瘀斑(多見於前胸、腋下、結膜)。機轉為骨髓脂肪滴進入血流阻塞肺與腦微血管,並釋出游離脂肪酸引起發炎。時間口訣「1到3天內、24-48小時最多」,故稱72小時才發生並不精確。預防重點是骨折早期固定。",[24,27,30,32],{"term":25,"count":26},"脂肪栓塞症候群",4,{"term":28,"count":29},"長骨骨折",2,{"term":31,"count":29},"低血氧與呼吸衰竭",{"term":33,"count":10},"點狀瘀斑",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-medical-surgical-018","有關不同關節炎病人的照護措施，下列何者錯誤？",18,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"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":44,"stem":45,"number":46,"year":9,"session":47},"nurse-112-3-medical-surgical-048","有關自動體外心臟電擊去顫器（AED）的操作敘述，下列何者錯誤？",48,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-medical-surgical-046","有關糖尿病足病人運動時鞋襪選擇之建議，下列何者錯誤？",46,114,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-115-2-medical-surgical-050","有關休克病人處置後病況改善的表徵，下列何者最適宜？",50,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-1-medical-surgical-034","有關化學藥物發生滲漏之處置，下列何者正確？",107,"2026-09-04",1788510741844]