[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-012":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-113-3-內外科護理學-012","nurse-113-3-medical-surgical-012",113,3,12,"承上題，有關此類病人的護理措施，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"鼓勵進行等張運動，如騎腳踏車或游泳","觀察服用 Plaquenil 緩解關節炎的成效","教導避免嘌呤含量高的食物，如內臟類、肉汁","鼓勵做負重運動，如散步、跑步","A",null,[],"本題考點在於退化性關節炎的運動與護理原則。依關節保護原則,應鼓勵「等張運動」中的低衝擊活動如騎腳踏車、游泳,可增強肌力、維持關節活動度且不增加關節負重與磨損,故選 A。B 錯在 Plaquenil(hydroxychloroquine)是治療類風濕性關節炎等自體免疫疾病的抗風濕藥,非退化性關節炎用藥;C 錯在限制高普林(嘌呤)食物是痛風的飲食衛教,與退化性關節炎無關;D 錯在散步、跑步屬負重運動,會增加已磨損關節的負荷、加重疼痛與退化,應避免。本題屬承接上題的護理措施辨識題。","退化性關節炎運動原則:選「不負重或低衝擊」的等張運動(游泳、騎車、水中運動)以保護關節,並做股四頭肌等長收縮強化支撐。避免跑跳、爬山、上下樓等增加關節壓力的活動。用藥以止痛(acetaminophen、NSAIDs)與關節保護為主。選項刻意混入類風濕(Plaquenil)與痛風(限普林)的處置作干擾,對症判斷是關鍵。",[24,26,29,31],{"term":25,"count":10},"關節保護原則",{"term":27,"count":28},"退化性關節炎運動",1,{"term":30,"count":28},"低衝擊等張運動",{"term":32,"count":28},"負重運動禁忌",[34,38,44,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-medical-surgical-009","有關食道靜脈曲張出血病人的護理指導，下列何者不適當？",9,114,2,{"webId":45,"stem":46,"number":10,"year":47,"session":28},"nurse-115-1-medical-surgical-003","有關腦膜炎病人接受腰椎穿刺檢查，下列敘述何者錯誤？",115,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-106-2-medical-surgical-021","有關白內障症狀之敘述，下列何者錯誤？",21,106,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-107-2-medical-surgical-065","有關接受前列腺切除術病人之護理措施與指導，下列何者錯誤？",65,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-109-1-medical-surgical-019","王先生，55 歲，身體質量指數為 30 kg\u002Fm 2 ，紅血球沉降速率正常範圍，主訴早晨起來關節疼痛與僵硬，在活動幾分鐘後可緩解僵硬。下列何者為王先生最可能的診斷？",19,109,"2026-09-04",1788510752555]