[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-114-3-基本護理學與護理行政-027","nurse-114-3-fundamental-nursing-027",114,3,27,"有關壓力性損傷的預防方法，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"使用氣墊圈以分散壓力","使用烤燈以促進血液循環","按摩壓力性損傷部位，以促進血液循環","鼓勵進行肢體的主動運動，以促進血液循環","D",null,[],"本題考點在於壓力性損傷（壓瘡）的實證預防措施。鼓勵病人進行肢體主動運動可促進血液循環、減少局部持續受壓，是有效且安全的預防方法，故選 D。A 使用氣墊圈（甜甜圈墊）已不建議，因其會壓迫圈緣組織、阻礙靜脈回流，反使中央區缺血。B 使用烤燈已淘汰，熱會使皮膚乾燥、增加代謝需氧量，無助於預防且可能燙傷。C 按摩已發生或受壓的骨突處是禁忌，摩擦與剪力會加重深層組織與微血管損傷。逐項比對後，A、B、C 皆為過時或有害的做法，唯 D 符合現行預防指引，故為最適當。","現代壓瘡預防以 NPUAP\u002FEPUAP 指引為準，核心是『減壓、減摩擦剪力、營養、皮膚評估』。減壓靠定期翻身（一般每 2 小時、依評估調整）與使用交替式氣墊床，而非局部小圈墊。已被摒棄的舊觀念包括氣墊圈、烤燈、酒精按摩、骨突處按摩。營養（足夠蛋白質與熱量）與失禁管理同樣關鍵。記憶：預防壓瘡『動、翻、墊、養、乾』；三大禁忌是『圈墊、烤燈、按骨突』。可連結 Braden Scale 作為風險評估工具。",[25,27,30,32],{"term":26,"count":11},"壓力性損傷預防",{"term":28,"count":29},"主動運動促進循環",1,{"term":31,"count":29},"氣墊圈禁忌",{"term":33,"count":29},"骨突處按摩禁忌",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-3-fundamental-nursing-028","有關營養評估的生化檢驗指標，下列敘述何者最不適當？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-115-2-fundamental-nursing-024","有關測量頸動脈搏動的敘述，下列何者正確？",24,115,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-106-1-fundamental-nursing-068","某病房護理師工作目標在滿足病人自我照護需求，協助生病的病人重獲正常的健康狀態。這屬那位護理理論家所提出？",68,106,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-107-2-fundamental-nursing-026","下列那些檢驗數值可驗證病人有脫水現象？①尿液比重值＞1.030 ②尿液比重值＜1.010 ③血清鈉上升，可能＞145 mEq\u002FL ④血清鈉下降，可能＜135 mEq\u002FL",26,107,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-108-2-fundamental-nursing-070","有關組織理論的敘述，下列何者最適當？",70,108,{"webId":61,"stem":62,"number":42,"year":63,"session":29},"nurse-110-1-fundamental-nursing-024","靜脈輸注 5%葡萄糖水 1,000 mL 及生理食鹽水 1,000 mL，需要於 24 小時內輸注完畢，當使用普通輸液套管時，滴注速度，下列何者正確？",110,"2026-09-04",1788510761640]