[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-3-內外科護理學-013","nurse-112-3-medical-surgical-013",112,3,13,"病人因骨腫瘤接受右腳膝上截肢的照護措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"協助其右腳保持平直外展，以防屈曲攣縮","協助於右腳殘肢使用彈性繃帶，以控制水腫","教導其右腳殘肢勿做運動，以防縫線破裂","教導不可採俯臥姿，以防關節屈曲","B",null,[],"本題考點在於膝上截肢術後的殘肢照護原則。依截肢術後護理，於殘肢使用彈性繃帶（以錐形包紮法）可控制水腫、促進靜脈回流並塑形殘肢以利日後裝配義肢，最適當，故選 B。判斷關鍵是「彈繃塑形控水腫」。A 錯誤，殘肢應避免長期外展與屈曲，須保持內收與伸直以防髖關節屈曲外展攣縮。C 錯誤，應鼓勵殘肢適度運動與肌力訓練以利義肢使用，而非完全不動。D 錯誤，反而應鼓勵每日採俯臥姿數次以伸展髖關節、預防屈曲攣縮，故「不可俯臥」的指導錯誤。","膝上截肢術後照護重點在「防攣縮、控水腫、備義肢」：預防髖屈曲與外展攣縮須避免長時間屈膝或墊高殘肢，並每日俯臥伸展；彈性繃帶採遠心端向近心端的錐形包紮以塑形並促回流；殘肢運動與早期活動維持肌力與關節活動度。此外須衛教辨識幻肢痛（截肢後常見的殘存肢體疼痛感）並給予心理支持與復健銜接。",[24,27,30,32],{"term":25,"count":26},"屈曲攣縮預防",2,{"term":28,"count":29},"截肢術後護理",1,{"term":31,"count":29},"殘肢彈性繃帶",{"term":33,"count":29},"俯臥姿",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-014","下列何者是視網膜剝離最主要的疾病機轉？",14,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-medical-surgical-010","預防全胃切除病人發生惡性貧血，可補充下列何種維生素？",10,113,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-1-medical-surgical-004","有關癲癇（epilepsy）發作處置，下列敘述何者錯誤？",4,114,{"webId":50,"stem":51,"number":26,"year":52,"session":26},"nurse-115-2-medical-surgical-002","有關阿茲海默症（Alzheimer’s disease）的病因病理，下列敘述何者正確？",115,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-2-medical-surgical-076","有關登革熱之敘述，下列何者錯誤？",76,106,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-108-1-medical-surgical-030","有關毛地黃中毒症狀，下列何者正確？①腹瀉 ②便祕 ③噁心嘔吐 ④黃色視覺 ⑤紅色視覺 ⑥心跳變快",30,108,"2026-09-04",1788510744871]