[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-113-2-內外科護理學-032","nurse-113-2-medical-surgical-032",113,2,32,"有關鞏皮症（進行性系統性硬化症，progressive system sclerosis）護理指導之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病人應多穿衣服、手套、襪子保暖，避免接觸冷空氣","教導病人每 1～2 小時深呼吸數次，加強肺擴張","餐後需立即臥床休息，減少腸胃不適","宜攝取高纖維食物，以防便秘","C",null,[],"本題考點在於硬皮症(進行性系統性硬化症)的護理指導,屬反向題。此病常侵犯食道使蠕動變差、下食道括約肌鬆弛而易胃食道逆流,故餐後應「維持直立、避免立即平躺」以防逆流;C「餐後需立即臥床休息」與此原則相反、即為錯誤答案。A 正確,病人有雷諾現象,應保暖並避免接觸冷空氣以防血管痙攣。B 正確,肺纖維化風險下每 1–2 小時深呼吸可維持肺擴張。D 正確,腸道蠕動變差易便秘,宜高纖維飲食。逐一比對,唯 C 忽視食道逆流風險,其餘皆符合多器官受累的照護重點。","硬皮症以皮膚與內臟膠原沉積、血管病變為特徵,常見 CREST(鈣化、雷諾、食道功能障礙、指硬化、微血管擴張)。食道受累致逆流,故餐後直立、少量多餐、睡前不進食、床頭抬高。記憶:硬皮症食道「不會推」,吃完別馬上躺。",[24,26,29,31],{"term":25,"count":10},"CREST 症候群",{"term":27,"count":28},"進行性系統性硬化症",1,{"term":30,"count":28},"食道蠕動障礙與胃食道逆流",{"term":32,"count":28},"雷諾現象保暖",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-033","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",33,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-medical-surgical-029","林先生因熱燒傷接受植皮手術，有關術後注意事項之敘述，下列何者正確？",29,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-023","服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",23,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-medical-surgical-071","唐女士，口腔癌術後狀況穩定，胰島素注射一天 4 次，鼻胃管灌食一天 6 餐，消化良好，空腹指尖血糖約 100～140 mg\u002FdL，手術前糖化血色素（HbA1c）為 9.5%。唐女士表示「我住院開刀前糖尿病是以口服藥控制，而且血糖控制很好的，我一定要注射胰島素嗎？」護理師的回答，下列何者最適切？",71,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-035","有關深部血栓靜脈炎病人之護理措施，下列何者不適當？",35,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-069","有關甲狀腺切除後病人的護理措施，下列何者正確？①注意有無聲音嘶啞 ②禁止深呼吸、咳嗽運動 ③喝溫開水減輕傷口不適 ④觀察口部刺麻感",69,108,"2026-09-04",1788510755148]