[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-046":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-046","nurse-114-1-medical-surgical-046",114,1,46,"有關糖尿病足病人運動時鞋襪選擇之建議，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"楦頭要寬，可讓腳趾自由伸展","穿鞋前要先檢查鞋內有無異物","襪子選擇棉質易吸汗為佳","運動時需穿鞋保護雙足，偶爾不穿襪沒關係","D",null,[],"本題考點在於糖尿病足病人的足部保護原則，為反向題，須挑出錯誤敘述。依糖尿病周邊神經病變導致保護性感覺喪失，足部微小傷口不易察覺且癒合差，故任何摩擦與受壓都須避免。錯誤者為 D「偶爾不穿襪沒關係」，因襪子可吸汗並減少鞋面直接摩擦，赤足穿鞋易生水泡與破皮，為本題應選的錯誤項。A 楦頭寬可讓腳趾伸展、避免擠壓變形，正確；B 穿鞋前檢查鞋內異物可防未察覺的刺傷，正確；C 棉質襪吸汗保持乾燥、降低黴菌與潰瘍風險，正確。","糖尿病足三大機轉：周邊神經病變（保護性感覺喪失）、周邊動脈疾病（血流不足致癒合差）、易感染。鞋襪選擇核心是「減壓、防摩擦、保乾爽」。記憶：每日檢查雙足、絕不赤足、鞋要合腳且楦頭寬、襪選淺色棉質便於察覺滲液。可連結 Wagner 潰瘍分級與糖尿病足部照護衛教。",[24,27,29,31],{"term":25,"count":26},"糖尿病周邊神經病變",2,{"term":28,"count":26},"糖尿病足照護",{"term":30,"count":26},"周邊動脈疾病",{"term":32,"count":10},"保護性感覺喪失",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-047","有關2020年美國心臟醫學會（American Heart Association, AHA）公告準則，啟動院內心臟停止（IHCA）生命之鏈（chain of survival）的次序，下列何者正確？①提供高品質心肺復甦        ②去顫   ③早期監測與預防    ④心臟驟停後照護    ⑤復原   ⑥啟動緊急應變系統",47,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-043","有關原發性多醛固酮症（primary aldosteronism）的臨床表徵，下列敘述何者最適當？",43,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-medical-surgical-037","宋先生為肺心症病人，對於他出院居家護理指導，下列何者不適當？",37,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-medical-surgical-025","有關左心室肥大評估結果之敘述，下列何者錯誤？",25,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-069","下列何者可評估糖尿病病人過去 3 個月的血糖控制情形？",69,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-medical-surgical-023","有關鼻竇炎術後的護理措施，下列何者錯誤？",23,109,"2026-09-04",1788510757593]