[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-1-內外科護理學-029","nurse-114-1-medical-surgical-029",114,1,29,"林先生因熱燒傷接受植皮手術，有關術後注意事項之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"供皮區應使用石膏夾板固定至少3～7天","術後應鼓勵病人移植部位多接受日照","肩部燒傷應使病人採俯臥，手臂位置遠離身體","膝蓋受傷部位應採屈曲姿位，膝下墊一枕頭","C",null,[],"本題考點在於燒傷植皮術後的姿位與傷口照護。依預防攣縮與保護移植皮片原則，肩部燒傷易向內收攣縮，故應採俯臥並使手臂外展遠離身體維持關節伸展，C正確為答案。A說供皮區須石膏夾板固定，實際需固定制動的是植皮區而非供皮區；B說移植部位多接受日照，新植皮片對紫外線敏感、應避免曝曬以免色素沉著與損傷；D說膝部採屈曲並墊枕，恰違反抗攣縮原則，膝關節應維持伸直，故A、B、D皆錯誤。","燒傷復健的核心是「對抗攣縮」，擺位方向一律與攣縮傾向相反：頸前燒傷採後仰、腋下採外展、膝與肘採伸直、手採功能位。植皮片術後需制動固定約3至5天以利血管新生附著，過早活動會使皮片剪切脫落。供皮區則如淺二度傷口自行上皮化，不需夾板。記憶點：植皮先制動、關節反攣縮、新皮怕曬。",[24,26,28,30],{"term":25,"count":10},"燒傷植皮",{"term":27,"count":10},"攣縮預防",{"term":29,"count":10},"抗攣縮擺位",{"term":31,"count":10},"移植皮片制動",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-medical-surgical-030","有關後天免疫缺乏症候群（AIDS）臨床表徵之敘述，下列何者錯誤？",30,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-medical-surgical-026","有關帶狀疱疹，下列敘述何者最適當？①感染痊癒後通常會有終生免疫力 ②避免摩擦造成水泡破裂，建議穿寬鬆柔軟衣服 ③當有神經痛症狀，可給予適當的止痛藥物 ④未患過水痘的人，應避免與帶狀疱疹病人接觸",26,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-medical-surgical-020","有關下肢深部靜脈栓塞之症狀與評估，下列何者正確？",20,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-medical-surgical-008","Tensilon（Edrophonium）test 是下列那一種疾病最具代表性的檢查？",8,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-052","肺結核病人若無法遵從醫師所開立的醫囑規則服藥時之護理措施，下列何者最適當？",52,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-medical-surgical-006","腦中風病人使用 Aspirin 100 mg 1# P. O. Q. D.治療的目的，下列何者正確？",6,109,"2026-09-04",1788510757440]