[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-013":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-013","nurse-113-1-medical-surgical-013",113,1,13,"有關下背痛病人使用骨盆牽引治療之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"骨盆牽引是一種骨骼牽引，有助於緩解疼痛","牽引時床尾抬高可增加牽引的效果","保持臥於床之正中位置，膝、第二腳趾與滑輪在一直線位置","牽引使用之拉力可達體重的1\u002F2","B",null,[],"本題考點在於下背痛骨盆牽引(pelvic traction)的照護原則。正確為 B「牽引時床尾抬高可增加牽引效果」——利用抬高床尾使身體重量產生反牽引力(counter-traction),增進牽引效果,故 B 正確。A 錯,骨盆牽引屬「皮膚牽引(skin traction)」而非骨骼牽引,以骨盆帶施力於體表。C 錯,維持正中臥位、肢體對齊時應是「膝、髖與滑輪成一直線」使拉力方向正確,「第二腳趾」的敘述不符對位原則。D 錯,皮膚牽引的拉力有安全上限(一般不超過約 2–4.5 公斤或體重之一小部分),不會達到體重的 1\u002F2,過大拉力會損傷皮膚。因此選 B。","牽引分皮膚牽引(skin traction,如 Buck's、pelvic traction,重量輕、施力於皮膚,約 2–4.5 kg 上限)與骨骼牽引(skeletal traction,經骨釘直接施力於骨,可承受較大重量)。有效牽引三原則:(1)拉力持續且方向正確(繩、滑輪、肢體對齊成一直線);(2)重錘懸空不落地、不隨意移除;(3)提供反牽引力(如抬高床尾或床頭,利用體重反向平衡)。骨盆牽引用於下背痛可放鬆肌肉、減輕椎間盤與神經根壓迫。記憶:皮膚牽引重量輕、抬高對側床端製造反牽引。",[24,26,28,30],{"term":25,"count":10},"骨盆牽引",{"term":27,"count":10},"皮膚牽引",{"term":29,"count":10},"反牽引力抬高床尾",{"term":31,"count":10},"牽引拉力上限",[33,37,42,48,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-014","下列何者為白內障最有效的治療方式？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-010","有關急性胰臟炎的敘述，下列何者正確？①常見的原因是膽道疾病及飲酒過量 ②血清澱粉酶及血鈣的數值過高 ③會出現下腹巨痛或疼痛輻射至右肩 ④急性期後，仍需採低脂飲食",10,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-004","有關癲癇藥物處置的敘述，下列何者正確？",4,114,2,{"webId":49,"stem":50,"number":47,"year":51,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-medical-surgical-046","有關單純性疱疹之敘述，下列何者錯誤？",46,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-medical-surgical-080","有關 GFR 為 15 mL\u002Fmin\u002F1.73 m 2 之慢性腎臟病病人之護理指導，下列何者最適當？",80,108,"2026-09-04",1788510750331]