[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-fundamental-nursing-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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":11},"nurse-114-1-基本護理學與護理行政-023","nurse-114-1-fundamental-nursing-023",114,1,23,"肺癌合併胸椎、肋骨等多處骨頭轉移的病人，皮膚乾燥，因長期臥床導致足部靜脈栓塞。護理師協助病人沐浴與身體按摩，下列照護何者適當？",{"A":15,"B":16,"C":17,"D":18},"以41～43℃溫水擦澡後，再塗擦乳液","清潔四肢時，由近心端往遠心端擦拭","沐浴後，協助背部叩擊增進舒適","協助熱水足浴後，進行足部按摩","A",null,[],"本題考點在於臥床合併骨轉移與靜脈栓塞病人的沐浴照護安全。選項A以41～43℃溫水擦澡後塗擦乳液，可清潔並改善皮膚乾燥且水溫安全，適當，故選A。B清潔四肢應由遠心端往近心端擦拭以促進靜脈回流，方向相反錯誤；C多處骨轉移者背部叩擊恐致病理性骨折，不宜；D足部靜脈栓塞者熱水足浴與按摩可能使血栓脫落形成栓塞，屬禁忌，皆不適當。","重點在辨識兩大禁忌：骨轉移＝避免叩擊、扣拍、用力按壓（病理性骨折風險）；深部靜脈栓塞＝患肢禁按摩、熱敷（血栓脫落致肺栓塞風險）。擦澡方向由遠而近助靜脈回流。安全水溫約41～43℃可清潔又不燙傷，乳液鎖水改善乾燥。",[25,27,29,31],{"term":26,"count":11},"骨轉移",{"term":28,"count":11},"病理性骨折",{"term":30,"count":11},"靜脈栓塞",{"term":32,"count":11},"擦澡",[34,38,43,49,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-114-1-fundamental-nursing-024","病人發燒時的護理措施，下列何者最不適當？",24,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-114-3-fundamental-nursing-020","病人在快走、咳嗽或打噴嚏時常有少量尿液溢出，下列護理措施何者最不適當？",20,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-fundamental-nursing-014","有關電熱墊使用的注意事項，下列護理指導何者錯誤？",14,115,2,{"webId":50,"stem":51,"number":48,"year":52,"session":11},"nurse-107-1-fundamental-nursing-002","醫院內所爆發的院內感染中，最常見的致病菌種為何？",107,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-108-1-fundamental-nursing-046","朱先生因中風造成左半邊肢體肌肉無力，肌肉力量測試為「0」分，護理人員協助執行患側髖關節被動性運動，有關動作執行過程，下列敘述何者正確？",46,108,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-109-1-fundamental-nursing-080","有關醫療成本控制，下列敘述何者錯誤？",80,109,"2026-09-04",1788510756939]