[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":11},"nurse-112-2-內外科護理學-001","nurse-112-2-medical-surgical-001",112,2,1,"腰椎椎間盤突出接受椎板切除術後之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用中硬度的床墊，維持脊椎正常排列","背架使用 3～6 個月，下床時須整天穿著背架，只有洗澡時可取下","手術後應該採俯臥及睡高枕，臥床時仍應該進行全關節運動","在可接受的情況下，可以進行俯臥抬頭和俯臥抬腿之運動","C",null,[],"本題考點是腰椎椎間盤突出行椎板切除術後的護理指導,屬選『錯誤』題。A用中硬度床墊維持脊椎正常排列、B背架使用3–6個月且下床時整天穿戴僅洗澡取下、D在可接受範圍進行俯臥抬頭與俯臥抬腿(背部伸展)運動,皆為適當指導。C『術後應採俯臥及睡高枕,臥床時仍應進行全關節運動』錯誤:睡高枕與例行俯臥會使腰椎前凸或牽扯手術部位、破壞脊椎中立排列,術後應維持脊椎正中、翻身採整體滾木式(log-roll)、避免扭轉與屈曲,故C的擺位指導不當,選C。","腰椎術後擺位核心是『維持脊椎中立、避免屈曲與旋轉』:平躺時膝下可微墊、側臥時兩膝間夾枕、翻身用滾木式整體翻動以免脊椎扭轉;高枕會使軀幹屈曲、增加腰椎壓力,並不適合。背架(brace)在下床活動時穿戴以支撐脊椎、平躺休息時可取下。運動方面,適度的背部伸展(如俯臥抬頭、俯臥抬腿、之後漸進的核心肌群訓練)有助強化支撐,與『例行俯臥睡姿』是兩回事——前者是治療性伸展運動,後者是不當的睡眠擺位。此題陷阱正在於把『睡高枕+俯臥』包裝進看似合理的護理指導中。",[24,26,28,30],{"term":25,"count":11},"椎板切除術後護理",{"term":27,"count":11},"脊椎中立排列",{"term":29,"count":11},"滾木式翻身(log-roll)",{"term":31,"count":11},"背架使用時機",[33,36,41,46,51,56],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-112-2-medical-surgical-002","有關重症肌無力病人之藥物使用護理指導，下列敘述何者正確？",{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-112-3-medical-surgical-018","有關心臟去纖維震顫器使用的敘述，下列何者錯誤？",18,3,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-113-2-medical-surgical-012","有關腔隙症候群的症狀，下列敘述何者錯誤？①失去尖鈍或兩點辨識力 ②患肢末梢脈搏減弱 ③微血管充填時間大於 3 秒 ④皮膚上出現出血斑點",12,113,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-114-3-medical-surgical-010","有關膽囊癌，下列敘述何者最不適當？",10,114,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",64,106,{"webId":57,"stem":58,"number":39,"year":59,"session":10},"nurse-107-2-medical-surgical-018","有關骨性關節炎照護的病人敘述，下列何者顯示需要進一步的護理指導？",107,"2026-09-04",1788510747275]