[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-內外科護理學-011","nurse-113-1-medical-surgical-011",113,1,11,"有關骨折癒合階段照護之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血腫形成期，應鼓勵病人進行患肢等張運動","細胞增生期，應鼓勵病人進行患肢等張運動","骨痂形成期，應鼓勵病人補充足夠的營養","鞏固化與再塑造期，告知病人骨折癒合不需再運動","C",null,[],"本題考點在於骨折癒合各階段的照護重點。正確為 C「骨痂形成期應鼓勵病人補充足夠營養」——骨痂(callus)形成需大量蛋白質、鈣、磷與維生素等原料,充足營養有助新骨生成,故 C 正確。A、B 錯,血腫形成期與細胞增生期屬癒合早期,骨折端尚未穩固,應「固定制動」而非鼓勵患肢做等張運動,以免影響癒合或造成移位。D 錯,鞏固化與再塑造期反而應「持續運動與負重」以促進骨骼依力學需求再塑造(Wolff's law),而非停止運動。因此選 C。","骨折癒合五階段:血腫形成(hematoma,傷後數小時至數日)→細胞增生\u002F纖維軟骨形成(肉芽與軟骨連接骨端)→骨痂形成(callus,類骨質鈣化,需充足營養)→骨化(ossification,硬骨痂)→鞏固化與再塑造(remodeling,依 Wolff 定律隨力學負荷重塑,可長達數月至數年)。早期照護重點是固定、抬高、監測神經血管;後期則以漸進運動與負重促進強度與塑造。營養(蛋白質、鈣磷、維生素 C\u002FD)貫穿全程但在骨痂形成期尤為關鍵。辨題:早期要「固定」、晚期要「運動」,方向弄反即錯。",[24,26,28,30],{"term":25,"count":10},"骨折癒合階段",{"term":27,"count":10},"骨痂形成期營養",{"term":29,"count":10},"早期固定制動",{"term":31,"count":10},"Wolff定律再塑造",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-012","有關關節炎的敘述，下列何者正確？",12,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-008","接受經肝動脈化學栓塞術病人的敘述，下列何者正確？",8,3,{"webId":43,"stem":44,"number":45,"year":46,"session":45},"nurse-114-2-medical-surgical-002","有關顱內腫瘤病人顱內壓 ICP=18 mmHg，其照護之敘述，下列何者正確？",2,114,{"webId":48,"stem":49,"number":50,"year":51,"session":45},"nurse-115-2-medical-surgical-050","有關休克病人處置後病況改善的表徵，下列何者最適宜？",50,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-medical-surgical-044","王先生 25 歲燒傷入院，全身有 20%的部分皮層燒傷，燒傷部位位於雙下肢，其燒傷嚴重度，下列何者正確？",44,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-medical-surgical-078","有關一氧化碳中毒病人之護理措施，下列何者正確？",78,108,"2026-09-04",1788510750324]