[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-112-2-基本護理學與護理行政-035","nurse-112-2-fundamental-nursing-035",112,2,35,"王太太右側肢體偏癱，協助採側臥時，下列措施何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"側臥時，背部墊一個枕頭給予支持","維持病人頭、頸與脊椎呈彎曲弧度","用墊子保護外側足踝骨突處，減少受壓","胸前可抱枕頭，減輕胸部受壓","B",null,[],"本題考點是協助偏癱病人側臥的擺位原則,錯誤敘述為 B。依身體正位(body alignment)原則,擺位時應維持頭、頸與脊椎呈「自然直線、正中排列」,而非彎曲弧度,以避免關節攣縮、肌肉拉傷與神經壓迫,故 B 為錯誤選項(答案)。A 正確,背部墊枕可提供支持、維持側臥穩定並防止身體後仰。C 正確,骨突處(如外側足踝)墊軟墊可分散壓力、預防壓傷。D 正確,胸前抱枕可支撐上側手臂、減輕胸廓與肩部受壓並利於呼吸。三個正確選項都在落實「支托、減壓、正位」原則。","良肢位擺位的核心是維持關節於功能位、脊椎中軸對齊、骨突減壓與肢體支托,以預防壓傷、關節攣縮與垂足等併發症。偏癱病人尤其要保護患側:避免患肢長時間受壓、肩關節下墊枕防半脫位、手部維持功能位。側臥時的重點包括背部支托、上側手臂與下肢以枕頭墊高避免內收內旋、骨突處(耳、肩峰、大轉子、外踝)減壓。本題以「頭頸脊椎呈彎曲弧度」作為錯誤敘述,正是違反正中排列原則的典型陷阱。",[25,27,30,32],{"term":26,"count":11},"側臥擺位",{"term":28,"count":29},"身體正位原則",1,{"term":31,"count":29},"骨突減壓",{"term":33,"count":29},"脊椎正中排列",[35,39,43,47,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-036","有關足托板使用之注意事項，下列敘述何者錯誤？",36,{"webId":40,"stem":41,"number":11,"year":42,"session":29},"nurse-113-1-fundamental-nursing-002","王先生因登革熱入院，下列敘述何者正確？",113,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-113-2-fundamental-nursing-046","有關資訊安全，下列敘述何者正確？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-114-3-fundamental-nursing-044","有關護理人員常見職業危害之物理性危害風險預防，下列敘述何者最不適當？",44,114,3,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-2-fundamental-nursing-018","承上題，在給予藥物時，下列何者正確？",18,106,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-107-2-fundamental-nursing-052","楊太太，育有兩子一女，長子因神經母細胞瘤惡化而病逝，楊太太思念孩子常以淚洗面，下列何項回應對楊太太的哀傷調適最適當？",52,107,"2026-09-04",1788510746884]