[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-007":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":10},"nurse-113-3-內外科護理學-007","nurse-113-3-medical-surgical-007",113,3,7,"有關痔瘡切除手術病人術後之護理措施，下列何者適當？",{"A":14,"B":15,"C":16,"D":17},"給予冰水坐浴可以減輕傷口腫脹與疼痛","應定時監測病人的解尿型態","初期建議攝取高纖維飲食以利排便","避免採取側臥或俯臥的姿勢","B",null,[],"本題考點在於痔瘡切除術後護理措施的適切性。依術後護理,肛門手術可能因疼痛或反射造成排尿困難,故應定時監測病人解尿型態、及早發現尿滯留,屬適當措施,選 B。A 錯在術後應採「溫水」坐浴促進循環、放鬆括約肌、緩解疼痛,冰水反致血管收縮不利癒合;C 錯在術後初期宜先軟質、漸進飲食,待腸蠕動恢復再逐步增加纖維,一開始就高纖維可能刺激未癒傷口(高纖是預防復發的長期原則);D 錯在側臥或俯臥可減輕肛門部位壓力,反而應鼓勵而非避免。本題屬術後護理辨識題。","溫水坐浴(sitz bath)是肛門手術後核心護理:每次 15～20 分鐘、每日數次,促進傷口循環與清潔、鬆弛肛門括約肌止痛。排尿監測因肛門與膀胱共用骨盆神經,術後易反射性尿滯留。長期預防痔瘡復發才強調高纖、多水、避免久坐與用力解便。姿勢上避免久坐壓迫,俯臥\u002F側臥減壓。",[24,26,29,32],{"term":25,"count":10},"溫水坐浴",{"term":27,"count":28},"痔瘡切除術後護理",2,{"term":30,"count":31},"尿滯留監測",1,{"term":33,"count":31},"漸進式飲食",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-008","接受經肝動脈化學栓塞術病人的敘述，下列何者正確？",8,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"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,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-3-medical-surgical-048","嚴重特殊傳染性肺炎（COVID-19）病人之呼吸照護，下列敘述何者最適當？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-2-medical-surgical-016","有關腸阻塞的敘述，下列何者正確？",16,106,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-107-2-medical-surgical-060","有關腎移植後產生的排斥現象，下列何者預後最佳？",60,107,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-109-1-medical-surgical-014","有關腦脊髓液的檢查，下列何者異常？",14,109,"2026-09-04",1788510752489]