[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-112-3-內外科護理學-004","nurse-112-3-medical-surgical-004",112,3,4,"有關病人脊椎手術後 48 小時內的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"評估神經功能的改變，尤其是手腳的感覺運動功能","病人解便時，須採圓滾木式翻身及使用一般便盆","床墊可採用中硬度的床墊","注意傷口是否有腦脊髓液滲漏","B",null,[],"本題考點在於脊椎手術後 48 小時內維持脊椎穩定與偵測併發症的護理。本題為反向題，錯誤敘述為 B：術後翻身確須採整體一致的圓滾木式（log-rolling）以維持脊椎軸線對齊，但排便時使用一般便盆會迫使脊椎彎曲與扭轉，應改用扁平的骨盆便盆（fracture pan）以減少脊椎受力，故選 B。判斷關鍵是「一般便盆會使脊椎屈曲」。A 密切評估四肢感覺與運動功能以早期發現神經損傷，正確。C 使用中硬度床墊支撐脊椎，正確。D 觀察傷口是否有腦脊髓液滲漏（清澈滲液、可能引發頭痛），正確。","脊椎術後護理的核心是維持脊椎正中對齊：翻身一律圓滾木式，由多人同步將頭、頸、軀幹視為一體轉動，避免脊椎扭轉牽扯手術部位。腦脊髓液滲漏可用試紙測葡萄糖呈陽性或觀察「暈環徵象」（halo sign）辨識。早期反覆評估遠端肢體的感覺、運動與肌力，是偵測血腫壓迫或神經惡化的關鍵，一旦惡化須警覺並回報。",[24,27,30,32],{"term":25,"count":26},"腦脊髓液滲漏",2,{"term":28,"count":29},"脊椎手術後護理",1,{"term":31,"count":29},"圓滾木式翻身",{"term":33,"count":29},"骨盆便盆",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-005","有關巴金森氏症病人的自我照顧指導，下列敘述何者錯誤？",5,{"webId":40,"stem":41,"number":29,"year":42,"session":26},"nurse-113-2-medical-surgical-001","腦瘤病人接受放射線治療，下列敘述何者正確？①臨床上常用 I 125 經由立體定位手術直接植入腫瘤進行治療 ②可以在手術後立即合併使用放射線治療，以促進治療效果 ③手術後通常以單次大劑量放射線治療為主 ④可以與化學療法合併使用，適用於惡性腦瘤和轉移癌之治療",113,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-113-3-medical-surgical-045","有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-115-1-medical-surgical-043","有關嗜鉻細胞瘤切除手術後之護理措施，下列何者錯誤？",43,115,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-106-2-medical-surgical-067","有關第 2 型糖尿病之敘述，下列何者正確？",67,106,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-108-1-medical-surgical-021","與引起聽力問題有關之疾病，下列何者最不可能？",21,108,"2026-09-04",1788510744801]