[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-012":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":10},"nurse-114-2-內外科護理學-012","nurse-114-2-medical-surgical-012",114,2,12,"有關病人因左膝關節退化性關節炎接受全膝關節置換術之術後照護，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"術後可用枕頭抬高左側下肢，以促進血液循環","術後 1～2 天可使用持續被動運動機（CPM）進行運動","助行器手把高度要與病人腰同高且手肘可彎曲≦30 度","教導病人返家後，多上下樓梯、走遠路，以促進膝關節血液循環","D",null,[],"本題考點在於全膝關節置換術(TKR)後的活動指導。本題為反向題,最不適當者為 D:術後應避免會過度磨損人工關節或增加負荷的活動,長時間上下樓梯、走遠路會加速關節磨損並增加脫位或鬆脫風險,故 D 為答案。A 正確,枕頭抬高患肢促進靜脈回流、減少水腫。B 正確,術後 1~2 天使用持續被動運動機(CPM)可維持關節活動度、預防僵硬。C 正確,助行器把手應與腰同高、手肘微彎約 30 度以內,符合人體工學支撐。","TKR 復健原則:「動關節但不虐關節」。CPM 提供被動彎曲角度逐日增加,預防沾黏。人工膝關節壽命有限,病人須避免高衝擊(跑跳)、深蹲及長時間爬梯以延長使用年限。助行器高度以站立時手腕橫紋對齊、肘屈 20~30 度為準,過高聳肩、過低駝背都影響支撐。",[24,26,28,31],{"term":25,"count":10},"全膝關節置換術",{"term":27,"count":10},"持續被動運動 CPM",{"term":29,"count":30},"人工關節保護",1,{"term":32,"count":30},"助行器高度",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-013","有關移除下肢石膏後病人護理指導之敘述，下列何者不適當？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-115-1-medical-surgical-009","肝性腦病變可能出現的臨床表徵，下列何者錯誤？",9,115,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,106,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-107-1-medical-surgical-041","當病人出現眼睛疼痛、伴隨噁心嘔吐症狀，下列何者為其最可能之診斷？",41,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-005","有關照護 HIV 感染者及共同生活者之護理指導，下列何者正確？",5,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-039","有關放射線治療癌症之敘述，下列何者正確？",39,109,"2026-09-04",1788510759565]