[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-112-2-內外科護理學-032","nurse-112-2-medical-surgical-032",112,2,32,"有關靜脈曲張之護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"建議穿著緊身衣","無需維持理想體重","不宜運動以避免惡化","睡前可抬高患肢","D",null,[],"本題考點是靜脈曲張的護理指導，正解為 D。依靜脈曲張的病生理，靜脈瓣膜功能不全使下肢靜脈血回流不良、鬱積於淺靜脈，照護目標在促進靜脈回流、減輕鬱血：D 睡前或休息時抬高患肢高於心臟，可藉重力幫助靜脈血回流、減輕腫脹與不適，正確。A 敘述錯誤，應穿「彈性壓力襪」由遠端往近端漸進加壓以助回流，緊身衣物反而壓迫近端阻礙回流；B 敘述錯誤，維持理想體重可減少下肢靜脈負擔，是重要衛教；C 敘述錯誤，適度運動（尤其步行）能藉小腿肌肉幫浦作用促進靜脈回流、改善而非惡化病況，故僅 D 正確。","靜脈曲張源於下肢靜脈瓣膜閉鎖不全與靜脈壁薄弱，血液逆流鬱積使靜脈擴張迂曲，久站、肥胖、懷孕、家族史為危險因子。照護核心是「對抗重力鬱血、活化肌肉幫浦」：穿漸進式壓力彈性襪（晨起下床前穿好）、避免久站久坐與翹腳、休息時抬高下肢、規律步行運動、控制體重、避免緊束衣物與過熱環境。小腿肌肉幫浦（calf muscle pump）是理解各項衛教的關鍵——走路時小腿肌肉收縮擠壓深靜脈推動血液回心，故運動有益而非有害。嚴重者可行硬化劑注射或靜脈手術。B、C 的「無需維持體重」「不宜運動」皆與此原則相反。",[24,27,30,33],{"term":25,"count":26},"抬高患肢",6,{"term":28,"count":29},"靜脈曲張",3,{"term":31,"count":32},"靜脈瓣膜功能不全",1,{"term":34,"count":32},"彈性壓力襪與運動",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-033","有關急性移植物對抗宿主疾病（Graft-versus-host-Disease, GVHD）之敘述，下列何者正確？",33,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-112-3-medical-surgical-049","病人體重 77 公斤，摔車導致右側大腿變形骨折，血流不止，119 緊急救護員給予緊急處理後送到急診，病人體溫 35.8℃、心跳 136 次／分、呼吸 34 次／分、血壓 80\u002F58 mmHg，皮膚冷潮濕，微血管充填時間大於 2 秒，呈現焦慮情緒。依據上述資料，病人呈現的休克種類，下列何者正確？",49,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-043","下列何者是與糖尿病小血管病變有關的慢性合併症？①足部神經麻木 ②糖尿病腎病變 ③心肌梗塞 ④腦血管梗塞",43,113,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-114-3-medical-surgical-041","有關中樞性尿崩症，下列敘述何者最適當？",41,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-015","有關腹水病人居家照護之敘述，下列何者錯誤？",15,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-2-medical-surgical-049","有關評估火場中病人是否有吸入性灼傷之敘述，下列何者錯誤？",107,"2026-09-04",1788510747535]