[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-012":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-012","nurse-114-3-medical-surgical-012",114,3,12,"有關骨外固定器處置，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"使用抗生素預防感染","使用外科傷口消毒法處理插針處","指導執行肌肉等長運動","避免下床以防外固定器鬆脫","D",null,[],"本題考點在於骨外固定器的照護原則,本題為反向題,問「最不適當」者。考點在於外固定器的活動優勢:外固定器提供穩定固定,病人多可早期下床與負重活動,不需為防鬆脫而臥床不動,故『避免下床以防外固定器鬆脫』錯誤,錯誤敘述為 D,選 D。A 依醫囑使用抗生素預防感染,合理。B 以外科傷口消毒法處理插針處(pin site),預防釘道感染,正確。C 指導執行肌肉等長運動以維持肌力並預防廢用性萎縮,正確。四者中唯 D 以臥床限制活動為由,違反外固定器可早期活動的目的,因此最不適當。","外固定器透過經皮穿針連接體外支架來穩定骨折,最大優點即容許早期關節活動與負重、便於觀察傷口。護理重點為釘道照護(定期以無菌技術清潔、觀察紅腫滲液以早期發現釘道感染)、維持支架穩固、等長與關節活動運動及神經血管評估。記憶:外固定=『固定得住,反而能動』,鼓勵活動而非臥床。",[24,27,29],{"term":25,"count":26},"骨外固定器",1,{"term":28,"count":26},"釘道照護 pin site care",{"term":30,"count":26},"早期活動與等長運動",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-013","有關病人股骨骨折後牽引的護理措施，下列敘述何者最適當？①牽引重力應垂直懸空不可擺動 ②摩擦力愈小，牽引拉力愈大 ③應以罩單覆蓋在牽引繩上，以減少感染 ④應視病人需要，隨時調整牽引重量 ⑤牽引力應與骨頭的長軸平行",13,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-009","下列何者為十二指腸潰瘍病人最常見之主訴？①「吃了東西之後痛得更厲害。」 ②「疼痛很少發生在半夜。」 ③「吃了東西後，疼痛就改善多了！」 ④「半夜常常因為痛而醒來。」",9,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-053","下列何者是肺氣腫造成氧氣供應減少的主要原因？",53,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-011","有關胃食道逆流的臨床表徵，下列何者最不常見？",11,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-055","右肺葉切除術後病人的姿勢擺位，下列何者最適當？",55,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-009","有關吸收不良症候群的臨床表徵，下列何者正確？",110,"2026-09-04",1788510761942]