[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-038":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-038","nurse-114-2-medical-surgical-038",114,2,38,"有關血液透析病人動靜脈瘻管（A-V fistula）之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"觸診瘻管摸到血流雜聲，表此處可能阻塞應速處理","每天測量動靜脈瘻管手臂之血壓，以評估血循狀況","可運用彈性繃帶包紮或著長袖彈力衣，以保護瘻管","教導執行握球運動強化血管，以促進瘻管的血流量","D",null,[],"本題考點在於血液透析動靜脈瘻管的保護與功能維持。依瘻管需維持足夠血流量以供透析,教導病人執行握球運動可促進靜脈擴張、強化血管管徑並增加血流量,故選 D。A 錯在觸診摸到的震顫(thrill)與聽到的血流雜音(bruit)正是瘻管通暢的正常表徵,消失才代表阻塞。B 錯在瘻管側手臂禁止量血壓,以免壓迫影響血流甚至造成阻塞。C 錯在不可用彈性繃帶或彈力衣包紮壓迫瘻管,亦不可提重物或配戴過緊飾物,以免血流受阻栓塞。","瘻管照護口訣「一聽二摸三不壓」:每日以聽診確認 bruit、指腹感受 thrill,並避免任何壓迫(睡覺不壓、不量血壓、不抽血)。握球運動屬術後成熟期(maturation, 約 6–8 週)加速血管動脈化的做法,使靜脈壁增厚以耐受反覆穿刺。",[24,26,29,31],{"term":25,"count":10},"握球運動",{"term":27,"count":28},"動靜脈瘻管",1,{"term":30,"count":28},"thrill 震顫與 bruit",{"term":32,"count":28},"瘻管成熟",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-039","有關腎臟結石接受體外震波術後照護措施之敘述，下列何者錯誤？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-035","李先生因肺結核服用ethambutol（EMB）治療，下列敘述何者正確？",35,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-medical-surgical-029","有關吸菸對動脈硬化阻塞疾病病人之影響，下列何者錯誤？",29,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-medical-surgical-067","有關副甲狀腺機能亢進病人之臨床表徵，下列何者正確？①便祕 ②低血鈣 ③骨質疏鬆 ④心律不整 ⑤高血磷",67,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-031","有關干擾素治療之敘述，下列何者正確？",31,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-065","腎臟肌酸酐清除率（CCr）正常值範圍是多少 mL\u002Fmin？",65,109,"2026-09-04",1788510759811]