[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-011","nurse-114-3-medical-surgical-011",114,3,11,"有關全髖關節置換術病人之術後護理措施，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"應選擇椅背平直、高度相當並有扶手之椅子","術後患肢抬高、保持外旋、避免外展","坐姿的髖部屈曲不可超過 90 度","6 星期內不要有性生活或駕車等活動","B",null,[],"本題考點在於全髖關節置換術後預防脫位的擺位原則,本題為反向題,問「最不適當」者。考點在於術後肢位:為防人工髖關節脫位,患肢應維持外展與中立位,避免內收超過身體中線、避免過度內旋或外旋,故『保持外旋、避免外展』恰與原則相反,錯誤敘述為 B,選 B。A 選用椅背平直、高度足夠且有扶手的椅子,避免髖過度屈曲,正確。C 坐姿髖屈曲不可超過 90 度,正確。D 約六週內避免性生活或駕車等使髖過度屈曲內收的活動,正確。四者中唯 B 的擺位方向錯誤,因此最不適當。","後側入路全髖置換的脫位三大禁忌為髖屈曲大於 90 度、內收過中線、內旋。術後應以外展枕維持雙腿分開的外展中立位,避免翹腳、低矮座椅、彎腰撿物與馬桶過低。B 選項把應『外展』寫成『避免外展』且要求『外旋』,正好落入脫位風險姿勢。記憶:置換後要『開開的、不翹腳、不彎太低』,保持外展中立最安全。",[24,27,30],{"term":25,"count":26},"全髖關節置換術",6,{"term":28,"count":29},"脫位預防三禁忌",1,{"term":31,"count":29},"外展中立位擺位",[33,37,43,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-012","有關骨外固定器處置，下列敘述何者最不適當？",12,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-115-2-medical-surgical-008","有關痔瘡的敘述，下列何者正確？①教導病人手術後一週開始溫水坐浴，促進傷口癒合 ②內痔與外痔的分界線是肛門黏膜與上皮相接的齒狀線（dental line） ③內痔區域是由自主神經所支配、外痔區域則是由體／知覺神經所支配 ④痔瘡切除術後教導病人採仰臥，利用填塞於直腸內的敷料加壓傷口止血",8,115,2,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-106-1-medical-surgical-052","有關肺栓塞之預防措施，下列何者最重要？",52,106,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-107-2-medical-surgical-010","與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",10,107,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-108-2-medical-surgical-054","當進行肺部聽診時，可經由聽診器清楚的聽到病人所說的話，下列何者為此項檢查之結果？",54,108,{"webId":59,"stem":60,"number":40,"year":61,"session":29},"nurse-110-1-medical-surgical-008","有關癲癇病人服用藥物的敘述，下列何者正確？",110,"2026-09-04",1788510761935]