[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-內外科護理學-020","nurse-112-2-medical-surgical-020",112,2,20,"有關接受關節腔鏡檢查病人的陳述，下列何者顯示需要進一步的護理指導？",{"A":14,"B":15,"C":16,"D":17},"「檢查後若無不舒服，我可以立即恢復日常活動」","「我應該要注意關節有無血腫情形的發生」","「我會檢視我的神經、血管功能是否受到影響」","「檢查後我要特別注意有無發燒或是部位有無紅腫」","A",null,[],"本題考點是關節腔鏡檢查後的自我照護衛教，需要進一步指導（即說法錯誤）的是 A。依關節鏡檢查後的復原原則，檢查雖屬微創但仍造成關節與周圍組織的侵入性刺激，術後需適度休息、漸進恢復活動並觀察併發症，不能立即恢復日常活動，故 A 說法錯誤、顯示衛教不足需再教導。B 注意關節有無血腫（關節腔內出血）是應觀察的併發症，說法正確；C 檢視遠端神經血管功能是否受影響，屬正確的自我監測；D 注意有無發燒或部位紅腫熱痛（感染徵象），亦正確，故三者反映衛教充分，唯 A 需再指導。","此類「顯示需要進一步護理指導」的題型，答案是「錯誤或不安全」的病人陳述，作答時要反向找出說錯的那一項。關節鏡檢查後衛教重點：初期抬高患肢、冰敷減輕腫脹、依醫囑漸進性活動與復健而非立即恢復日常活動、觀察感染徵象（發燒、傷口紅腫熱痛與異常分泌物）、觀察關節腫脹或血腫、注意遠端肢體的神經血管功能（顏色、溫度、感覺、脈搏、活動）。有異常應返診評估。理解關鍵在於：即使微創，仍有出血、感染與麻醉相關風險，故活動需循序漸進，A 的「立即恢復」正是違反此原則的危險認知。",[24,26,29,31],{"term":25,"count":10},"術後衛教",{"term":27,"count":28},"關節鏡檢查",1,{"term":30,"count":28},"併發症觀察",{"term":32,"count":28},"漸進性活動",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-021","有關急性鼻竇炎的處置，下列何者錯誤？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-037","有關慢性阻塞性肺疾病（COPD）病人的護理照護計畫，下列何者應列為最優先處理？",37,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-031","汪先生診斷為肺癌並接受右肺葉切除術，下列何者為其最適合的術後姿勢臥位？",31,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-029","有關改善過敏反應的生活指導，下列敘述何者最適當？",29,114,{"webId":54,"stem":55,"number":42,"year":56,"session":10},"nurse-106-2-medical-surgical-003","有關脊髓損傷導致自主神經反射過度之敘述，下列何者正確？",106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-2-medical-surgical-037","下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",107,"2026-09-04",1788510747435]