[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-3-基本護理學與護理行政-035","nurse-113-3-fundamental-nursing-035",113,3,35,"人死亡後所產生的隨意肌部分的屍僵變化，一般從那個部位最先發生？",{"A":15,"B":16,"C":17,"D":18},"髖關節","軀幹","下頷","上肢","C",null,[],"本題考點在於死後屍僵（rigor mortis）的發生順序。依屍僵生理，人死亡後 ATP 耗竭使肌動蛋白與肌凝蛋白無法解離而僵硬，通常由小肌肉群先出現，最先發生於下頷（顏面咀嚼肌等小肌群），再向頸、軀幹、四肢等大肌群漸次擴展（由頭往下、由小往大），故選 C 下頷。A 髖關節、B 軀幹、D 上肢皆為較大肌群或較晚僵硬的部位。屍僵一般死後 2～4 小時開始，12 小時達高峰，之後隨自溶而漸緩解。","屍僵機轉：死亡後細胞缺氧、ATP 停止生成，肌凝蛋白橫橋無法脫離肌動蛋白（需 ATP 才能解離），肌肉持續收縮僵直；後期組織自溶蛋白分解才鬆開。順序「由小肌群到大肌群、由上往下」，故下頷最先、四肢較後。溫度高者屍僵出現與消退都較快。記「屍僵先鎖下巴、ATP 沒了鬆不開」。",[25,28,31,33],{"term":26,"count":27},"死後變化",2,{"term":29,"count":30},"屍僵機轉",1,{"term":32,"count":30},"ATP 與肌肉收縮",{"term":34,"count":30},"屍僵發生順序",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-036","有關護理部門的短、中及長程計畫，下列敘述何者正確？",36,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-fundamental-nursing-032","有關出院計畫的敘述，下列何者正確？①以病人為中心來制定計畫內容，以確保持續性照護 ②於醫師開立出院醫囑當天開始執行 ③需避免病人或家屬直接執行傷口照護，以防再度感染 ④由病人、照護者、醫師、護理師及其他醫療團隊共同擬訂",32,114,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-115-1-fundamental-nursing-026","病人雙側手臂因骨折以石膏固定，有關血壓測量的敘述，下列何者正確？",26,115,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-106-2-fundamental-nursing-044","有關影響血壓的因素，下列何者錯誤？",44,106,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-108-1-fundamental-nursing-008","對於傷口培養有抗二甲氧基苯青黴素性之金黃色葡萄球菌（Methicillin-Resistant Staphylococcus Aureus, MRSA）之病人，其隔離措施之敘述，下列何者正確？",8,108,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-109-1-fundamental-nursing-042","低蛋白質飲食適用於下列那些病人？①急性肺炎 ②肝昏迷 ③燒傷 ④尿毒症",42,109,"2026-09-04",1788510752242]