[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-2-內外科護理學-046","nurse-112-2-medical-surgical-046",112,2,46,"熱燒傷病人進行水療法時之護理措施，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"水溫調配維持 32～34℃，以減少傷口疼痛","水池中加入 beta-iodine 30～50 ppm，以抑制細菌生長","水池中每公升加入 0.85 公克的食鹽，以補充流失的電解質","水療時間每次以一小時為宜，使痂皮鬆脫","C",null,[],"本題考點為熱燒傷病人水療（hydrotherapy）的護理措施。考點在於水療液的電解質補充：水池中每公升加入約 0.85 公克食鹽可配成接近生理張力的溶液，減少滲透造成的電解質流失與組織水腫，故正解為 C。A 水溫 32～34℃偏低，一般建議接近體溫（約 37℃上下）以減少寒顫與疼痛，此敘述不適宜；B beta-iodine 濃度與描述不符且非首選抑菌方式；D 水療時間過長（一小時）會增加感染、失溫與電解質流失風險，應縮短，故選 C。","燒傷病人皮膚屏障喪失，經創面大量流失水分與電解質（尤其鈉），水療兼具清創、去除壞死組織與換藥前軟化痂皮的功能，但需控制水溫接近體溫、縮短時間（一般 20–30 分鐘內）以避免失溫、疼痛與交叉感染。加入接近生理濃度的食鹽（0.85%）可降低低張水經創面吸收造成的稀釋性低血鈉。可連結燒傷急性期的體液電解質變化（早期第三間隙滯留、鈉鉀變化）與 Parkland 公式補液一併複習。",[24,26,29,31],{"term":25,"count":10},"電解質流失",{"term":27,"count":28},"熱燒傷水療法",1,{"term":30,"count":28},"生理食鹽濃度0.85%",{"term":32,"count":28},"水溫與水療時間控制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-047","下列何者屬於主動性後天免疫？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-113-1-medical-surgical-013","有關下背痛病人使用骨盆牽引治療之敘述，下列何者正確？",13,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-007","有關痔瘡切除手術病人術後之護理措施，下列何者適當？",7,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-medical-surgical-005","病人跌倒造成腦部枕葉受損時出現的症狀，下列何者正確？",5,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-029","有關心律不整之治療，下列何者正確？",29,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-063","下列何者為確立無痛性血尿是否為膀胱癌之最佳診斷檢查？",63,107,"2026-09-04",1788510747682]