[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-114-1-內外科護理學-002","nurse-114-1-medical-surgical-002",114,1,2,"多發性硬化症病人之日常活動護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"運動前給予溫熱敷會增加肌肉強直和關節攣縮","避免在運動後洗熱水澡以免疾病惡化","可以增加多次且密集的運動，防止肌肉無力和強直","若疾病加重導致長期臥床，應避免執行全關節運動","B",null,[],"本題考點在於多發性硬化症（MS）病人的活動與溫度管理。MS 病人有 Uhthoff 現象——體溫升高會使神經傳導惡化、症狀加重，故應避免運動後洗熱水澡以免疾病症狀惡化，選 B。（A）錯：運動前溫熱敷可放鬆肌肉、減輕僵直，並非增加強直與攣縮，敘述相反。（C）錯：MS 病人易疲勞，應採適度、規律並穿插休息的運動，過度密集反而誘發疲乏與症狀加劇。（D）錯：長期臥床更應執行全關節活動（ROM）以預防關節攣縮與失用性萎縮，不應避免。故正確護理為避熱、適度運動、維持關節活動。","多發性硬化症為中樞神經髓鞘脫失疾病。Uhthoff 現象：核心體溫每升高即使小幅，去髓鞘軸突傳導變差，視力模糊與無力等症狀短暫加重，故衛教避免高溫（熱水澡、三溫暖、發燒、悶熱環境），部分病人以降溫改善功能。護理重點：能量節約、規律但不過度的運動、預防疲勞、臥床者維持全關節活動預防攣縮。",[24,27,29,31,33],{"term":25,"count":26},"多發性硬化症",7,{"term":28,"count":10},"Uhthoff現象",{"term":30,"count":10},"體溫與神經傳導",{"term":32,"count":10},"全關節運動",{"term":34,"count":10},"能量節約",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-003","有關頭部外傷相關合併症的敘述，下列何者正確？",3,{"webId":41,"stem":42,"number":43,"year":9,"session":11},"nurse-114-2-medical-surgical-049","有關成人高品質胸部按壓的敘述，下列何者正確？",49,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-115-1-medical-surgical-043","有關嗜鉻細胞瘤切除手術後之護理措施，下列何者錯誤？",43,115,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-2-medical-surgical-061","有關睪丸癌最主要的危險因子，下列何者正確？",61,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-025","下列何者是 Heparin 之解毒劑？",25,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-medical-surgical-059","有關急性腎盂腎炎之敘述，下列何者正確？①常見於下泌尿道上行性感染 ②常見有肋骨脊柱角處疼痛 ③紅血球沉降速率（ESR）下降 ④急性期時應大量攝取液體",59,109,"2026-09-04",1788510757205]