[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-025","nurse-113-3-medical-surgical-025",113,3,25,"有關腔隙症候群（compartment syndrome）的臨床表徵，下列何者正確？①患肢有緊縮感 ②患肢脈搏減弱 ③止痛藥物能緩解疼痛 ④患肢比健肢冰冷",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點在於腔隙(腔室)症候群(compartment syndrome)的臨床表徵,要求選出正確組合。①正確,腔室內壓升高使患肢有腫脹緊縮感;②正確,壓力升高壓迫血管使遠端脈搏減弱;④正確,循環受阻使患肢較健肢冰冷、蒼白,故①②④組合為 B。③錯在腔隙症候群的疼痛為進行性、劇烈且與傷勢不成比例,一般止痛藥「無法緩解」,被動牽張更加劇疼痛。本題屬骨科急症辨識題。","腔室症候群是肢體外傷\u002F石膏過緊後的急症,經典 6P:Pain(不成比例且被動伸張加劇,最早)、Pallor(蒼白)、Paresthesia(感覺異常)、Pulselessness(脈搏消失,晚期)、Paralysis(麻痺)、Poikilothermia(患肢變冷)。壓力持續會致肌肉神經缺血壞死,須緊急筋膜切開術(fasciotomy)減壓。護理禁忌:勿抬高患肢過高(反減灌流)、勿冰敷過度、石膏過緊須立即鬆解。止痛藥壓不下的劇痛是重要警訊。",[24,26,29,32],{"term":25,"count":10},"筋膜切開術",{"term":27,"count":28},"腔隙症候群",2,{"term":30,"count":31},"6P 徵象",1,{"term":33,"count":31},"不成比例疼痛",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-026","相較於何杰金氏病，有關非何杰金氏淋巴瘤之敘述，下列何者錯誤？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-114-2-medical-surgical-022","正在接受 sorafenib（Nexavar）治療的癌症病人表示：「服藥後手掌和腳掌都出現脫皮、龜裂、刺痛情形，怎麼會這樣呢？」，下列護理指導何者正確？①洗手時不用力搓洗，穿著寬鬆舒適鞋子 ②可塗擦尿素乳膏或凡士林在患部後穿襪就寢 ③外出須戴帽撐傘防曬，但不可以擦防曬乳 ④皮膚乾癢不適時應給與冰敷或熱敷緩解症狀",22,114,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-115-1-medical-surgical-016","有關心包膜炎照護之敘述，下列何者不適宜？",16,115,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-106-2-medical-surgical-034","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",34,106,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-2-medical-surgical-078","有關敗血症治療之敘述，下列何者錯誤？",78,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-109-1-medical-surgical-032","有關惡性腫瘤特徵的敘述，下列何者正確？①細胞通常分化不良 ②腫瘤通常有被膜包覆 ③生長速度通常很迅速 ④易轉移易復發",32,109,"2026-09-04",1788510752671]