[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-020":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":26},"nurse-114-1-內外科護理學-020","nurse-114-1-medical-surgical-020",114,1,20,"有關靜脈剝除結紮手術（stripping and ligation）術後照護之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"術後臥床期間避免於床上進行全範圍關節運動","抬高床尾15度，膝部不彎曲","術後下床時均應穿彈性襪","應監測末梢血循變化及是否有感覺異常","A",null,[],"本題考點在於下肢靜脈剝除結紮術的術後照護，屬反向題，須找出錯誤敘述。依預防深部靜脈栓塞與促進靜脈回流原則：術後臥床期間應鼓勵並協助全範圍關節運動及足踝背屈，以肌肉幫浦促進血液回流、避免血栓，故A說「避免全範圍關節運動」錯誤，為本題答案。抬高床尾15度、膝部不彎曲有助靜脈回流，B正確；下床時穿彈性襪提供外部壓力，C正確；監測末梢血循與感覺異常可早期發現循環或神經受損，D正確。","靜脈曲張手術後的照護主軸是「抗鬱積、防血栓」。臥床不動是深部靜脈栓塞的最大危險因子，故早期活動與踝泵運動是標準做法，而非制動。彈性襪與抬高患肢利用重力與外壓縮小靜脈管徑、加速回流。對比動脈手術後常需觀察肢體是否過度抬高造成缺血，靜脈手術則反而鼓勵抬高，方向恰相反，是常見混淆點。",[24,27,29,31],{"term":25,"count":26},"彈性襪",2,{"term":28,"count":10},"靜脈剝除結紮術",{"term":30,"count":10},"深部靜脈栓塞預防",{"term":32,"count":10},"肌肉幫浦作用",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-021","正在接受體外放射線治療的癌症病人表示：「臉和頸部的皮膚發紅刺痛、脫屑，甚至有些部位會濕濕的，很不舒服」，下列處置何者正確？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-017","58 歲中年婦女，平日血壓約為 138\u002F88 mmHg，沒有糖尿病與其他心血管疾病，BMI 為 30 kg\u002Fm 2 ，飲食偏好重油滷肉類食物，沒有抽菸與喝酒習慣，日常活動多為家務勞動，下列敘述何者最不適當？",17,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-medical-surgical-011","有關病人因右側髖骨骨折接受全髖關節置換術之護理指導，下列敘述何者正確？",11,115,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",79,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-043","有關燒傷病人達到體液復甦目標之指標，下列何者正確？",43,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-medical-surgical-077","乳癌病人手術後的病理報告：乳房惡性腫瘤為 3 公分，腋下有 2 顆淋巴結轉移。依癌症 TNM 分期，下列何者正確？",77,109,"2026-09-04",1788510757355]