[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-113-1-內外科護理學-027","nurse-113-1-medical-surgical-027",113,1,27,"葉女士手部遭魚刺刺傷，出現局部發紅、化膿的炎症反應，診斷為蜂窩性組織炎，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"給予周邊靜脈輸液及全身性抗生素連續7～10天","依照內科無菌原則施行冷水浸泡以減輕炎症反應","教導減少攝取液體以避免患處水腫","患肢低於胸部以降低病菌回流至軀幹","A",null,[],"本題考點在於蜂窩性組織炎(cellulitis)的護理處置。蜂窩性組織炎是皮膚及皮下組織的細菌感染,治療核心是給予全身性抗生素(常需靜脈給藥並持續7~10天以確保療效),故A正確。B錯誤,急性發炎化膿期應採溫熱敷促進循環與局限感染,而非冷水浸泡;C錯誤,發炎時應維持足夠水分,限水無助反不利;D錯誤,患肢應抬高(高於心臟)以促進靜脈回流、減輕水腫,而非低於胸部。","蜂窩性組織炎常見致病菌為鏈球菌與金黃色葡萄球菌。抬高患肢利用重力促進淋巴與靜脈回流減輕腫脹;溫熱敷增加局部血流有助抗生素送達與白血球聚集。須觀察紅腫熱痛範圍是否擴大、有無發燒等全身性感染徵象。",[24,27,30,33],{"term":25,"count":26},"抬高患肢",6,{"term":28,"count":29},"蜂窩性組織炎",3,{"term":31,"count":32},"溫熱敷",2,{"term":34,"count":10},"全身性抗生素",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-medical-surgical-028","有關氣爆引發四度熱燒傷的健康問題，下列何者較不常發生？",28,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-113-3-medical-surgical-024","林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",24,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-114-2-medical-surgical-018","有關預防靜脈血栓形成之措施，下列何者不適當？",18,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-016","有關接受活體肝臟切片檢查病人之護理，下列何者錯誤？",16,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-060","有關低血鈣臨床表徵之敘述，下列何者正確？",60,107,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,108,"2026-09-04",1788510750454]