[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-3-內外科護理學-008","nurse-114-3-medical-surgical-008",114,3,8,"有關口腔癌病人接受根除性頸部淋巴廓清術後之照護，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"術後須固定肩膀不動","每日評估傷口，並依傷口情況進行無菌技術換藥","開始進食時可先採清流質、軟質飲食","必要時行氣管造口術，以利痰液抽吸","A",null,[],"本題考點在於口腔癌根除性頸部淋巴廓清術後照護,本題為反向題,問「最不適當」者。考點在於避免術後肩部功能障礙:廓清術可能傷及副神經而造成斜方肌無力與肩下垂,故術後應鼓勵早期肩部與頸部活動運動以維持功能,若『固定肩膀不動』反而導致沾黏與活動受限,故錯誤敘述為 A,選 A。B 每日評估傷口並依情況以無菌技術換藥,正確。C 開始進食先採清流質再進軟質飲食,符合漸進原則。D 必要時行氣管造口以利痰液抽吸與維持呼吸道通暢,合理。因此最不適當者為固定肩膀不動。","根除性頸部淋巴廓清常需切除胸鎖乳突肌、頸內靜脈及第十一對腦神經(副神經),術後易出現肩部下垂、外展受限與慢性疼痛,故復健重點是早期且漸進的肩頸關節活動與肌力訓練,以預防冰凍肩與姿勢代償。其他照護含呼吸道通暢、傷口與皮瓣血循觀察、營養支持與吞嚥復健。記憶:淋巴廓清後怕的是『不動→僵硬』,要動不要固定。",[24,27,29],{"term":25,"count":26},"頸部淋巴廓清術",1,{"term":28,"count":26},"副神經與肩部功能",{"term":30,"count":26},"術後早期活動復健",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-009","有關肝癌，下列敘述何者最不適當？",9,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-005","當腦瘤病人出現噴射性嘔吐時，腫瘤最可能壓迫到下列那一個部位？",5,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-049","有關全身性紅斑性狼瘡女性病人，於類固醇藥物治療後症狀緩解已 1 年之護理指導，下列何者錯誤？",49,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-007","有關阿茲海默氏症病人的臨床表徵，下列何者正確？①短期記憶缺失 ②長期記憶缺失 ③易怒 ④失去定向力",7,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-051","肺栓塞病人於血栓形成後 72 小時內，可給與下列何種藥物以快速溶解血塊？",51,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-005","會影響吞嚥動作之腦神經，下列何者正確？①CN III ②CN VII ③CN IX ④CN X ⑤CN XI",110,"2026-09-04",1788510761908]