[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-015":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-113-2-內外科護理學-015","nurse-113-2-medical-surgical-015",113,2,15,"有關視網膜剝離的緊急處理，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"立刻臥床","單眼蓋上眼罩","勿隨意移動頭部","減少焦慮","B",null,[],"本題考點在於視網膜剝離的緊急處置,屬反向題。核心原則是最大限度減少眼球轉動,以免剝離範圍擴大,故應「雙眼」包紮固定;B「單眼蓋上眼罩」無法制止健眼帶動患眼共軛運動,為錯誤敘述、即為答案。A 正確,立刻臥床可減少活動與重力牽扯。C 正確,勿隨意移動頭部並依剝離位置採特定臥位,使剝離處朝下貼合。D 正確,減少焦慮可降低突然轉動與 Valsalva 動作。逐一看:唯 B 因雙眼共軛運動原理而不足以固定患眼,其餘皆屬正確的制動措施。","雙眼同向共軛運動使遮一眼另一眼仍轉動,故需雙眼包紮真正制動。視網膜剝離常見飛蚊、閃光、視野缺損如布幔,確診後多以鞏膜扣壓、玻璃體切除或氣體填充手術治療,術後採特定俯臥\u002F頭位使氣泡頂住裂孔。記憶:剝離要「雙眼一起蓋」才不亂動。",[24,27,30,32],{"term":25,"count":26},"視網膜剝離",6,{"term":28,"count":29},"雙眼共軛運動",1,{"term":31,"count":29},"眼球制動",{"term":33,"count":29},"特定臥位使裂孔貼合",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-016","有關感染性心內膜炎臨床表徵之敘述，下列何者錯誤？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-medical-surgical-012","有關肌肉骨骼系統身體檢查評估結果之敘述，下列何者正確？",12,114,{"webId":45,"stem":46,"number":26,"year":43,"session":47},"nurse-114-3-medical-surgical-006","有關小腸阻塞的臨床表徵與評估，下列敘述何者最適當？①劍突下可見強蠕動波 ②嘔吐物含糞便臭味 ③鈉、鉀、氯值降低 ④阻塞早期腸蠕動音消失",3,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-medical-surgical-054","病人移除人工氣道後，出現下列何種現象應做緊急處理？",54,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-018","有關骨性關節炎照護的病人敘述，下列何者顯示需要進一步的護理指導？",18,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-052","肺栓塞病人使用肝素以阻止新的血塊形成，通常須維持部分凝血活酶時間（aPTT）為正常值的多少倍？",52,108,"2026-09-04",1788510754987]