[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-內外科護理學-046","nurse-112-1-medical-surgical-046",112,1,46,"有關膠帶等黏性產品使用之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"移除膠帶時，應垂直、快速才不會痛太久","膠帶造成皮膚的損傷好發在嬰幼兒和水腫病人","移除膠帶時需支撐邊緣皮膚，以 180 度逆毛方向移除","使用膠帶前，可以在皮膚上塗抹優碘以增加黏性","B",null,[],"本題考點在於黏性膠帶使用與醫療器材相關皮膚損傷（MARSI）的預防原則。正確敘述為 B：嬰幼兒表皮與真皮結合較鬆、角質層薄，水腫病人皮膚張力大、組織脆弱，兩者移除膠帶時皆易造成表皮撕脫，故為好發族群，選 B。A 錯誤，移除膠帶應以低角度、平行皮膚方向緩慢撕除以減少張力，非垂直快速；C 錯誤，正確方向是順毛、以接近 0 度貼皮方向並支撐邊緣，180 度逆毛會加重損傷；D 錯誤，貼膠帶前塗優碘無助黏性反而刺激皮膚。","MARSI（Medical Adhesive-Related Skin Injury）機轉在於黏著力大於表皮與真皮的附著力，撕除時把角質層一併帶走。減害要點：以低角度水平牽引、一手固定支撐邊緣皮膚、必要時用黏膠移除劑；高危族群還包括老年人與長期類固醇使用者。可對比皮膚保護膜與矽膠敷料在脆弱皮膚上的應用。",[24,26,28,30],{"term":25,"count":10},"醫療黏著劑相關皮膚損傷",{"term":27,"count":10},"低角度撕除",{"term":29,"count":10},"嬰幼兒皮膚脆弱",{"term":31,"count":10},"水腫病人",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-047","有關細胞毒殺過敏反應之敘述，下列何者錯誤？",47,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-063","有關急迫性尿失禁之照護，下列敘述何者正確？①可給予副交感神經藥物 ②指導膀胱訓練法 ③指導病人使用尿失禁輔助用品如護墊或尿布 ④施行人工尿道括約肌植入術",63,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-027","葉女士手部遭魚刺刺傷，出現局部發紅、化膿的炎症反應，診斷為蜂窩性組織炎，下列護理措施何者正確？",27,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-medical-surgical-025","王先生接受輸血治療過程中發生乾咳、血壓上升、嚴重呼吸困難等情形，下列何者為其最有可能發生的輸血不良反應？",25,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-029","有關吸菸對動脈硬化阻塞疾病病人之影響，下列何者錯誤？",29,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-063","有關腎盂腎炎之敘述，下列何者錯誤？",107,"2026-09-04",1788510742111]