[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-3-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":66},"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":27},"nurse-112-3-基本護理學與護理行政-026","nurse-112-3-fundamental-nursing-026",112,3,26,"有關病人長期臥床影響其肌肉骨骼系統的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"關節內的組織被密度較低的上皮組織取代，造成關節僵硬","若肌肉完全失去活動，每天將失去 3%的強度","鈣進入骨骼增加，使得血液中的鈣離子降低，形成低血鈣","骨骼增加負重機會，破骨細胞活性大於成骨細胞","B",null,[],"本題考點在於長期臥床對肌肉骨骼系統的影響。依廢用性萎縮原理，肌肉完全不活動時肌力流失甚快，約每天喪失 3% 的強度，故 B 正確。A 錯在關節僵硬是因結締組織纖維化與軟骨退化，並非被「上皮組織」取代，組織類別描述錯誤；C 錯在臥床時骨鈣是「流失至血中」造成高血鈣與尿鈣增加，並非鈣進入骨骼形成低血鈣，方向相反；D 錯在缺乏負重刺激時「破骨細胞活性大於成骨細胞」導致骨質流失，但選項卻寫成骨骼增加負重機會，前提錯誤。故選 B。","臥床失用的骨骼肌肉三大變化：肌力快速流失（不動時約每日 3%、每週可達 10–15%）、關節攣縮（結締組織纖維化）、廢用性骨質疏鬆（缺乏負重使破骨大於成骨、鈣自骨釋出）。因此臥床病人血鈣、尿鈣可升高，甚至增加腎結石風險。預防之道為早期活動、被動關節運動與負重訓練。",[25,28,31,33],{"term":26,"count":27},"廢用性肌肉萎縮",4,{"term":29,"count":30},"肌力每日流失約3%",1,{"term":32,"count":30},"廢用性骨質疏鬆",{"term":34,"count":30},"破骨\u002F成骨細胞平衡",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-fundamental-nursing-027","病人長期臥床易導致的營養與代謝改變，下列敘述何者正確？",27,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-fundamental-nursing-023","有關移動病人並協助擺位，下列敘述何者正確？",23,113,2,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-114-1-fundamental-nursing-017","有關溫水坐浴（Warm Sitz Bath）常用溶液及其使用目的之敘述，下列何者錯誤？",17,114,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-115-2-fundamental-nursing-015","下列何種情況適合熱敷？",15,115,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-107-1-fundamental-nursing-009","對於病患的稱呼是建立關係很重要的步驟，下列作法何者較恰當？①傳統的方式，男性稱先生，女性稱女士 ②可以姓氏加職稱稱呼 ③避免弄錯病患應以床號稱呼 ④全名稱呼最保險也最尊敬",9,107,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-108-1-fundamental-nursing-043","下列有關睡眠週期特徵之敘述，何者正確？",43,108,"2026-09-04",1788510744541]