[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-013","nurse-114-3-medical-surgical-013",114,3,13,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①②⑤","③④⑤","C",null,[],"本題考點在於股骨骨折牽引的護理原則。考點在於維持有效牽引力:①牽引重力應垂直懸空、不可觸地或擺動,以保持恆定拉力;②滑輪與繩索摩擦力愈小,傳遞到骨折端的有效拉力愈大;⑤牽引方向應與骨骼長軸平行,才能正確復位,故正確組合為①②⑤,選 C。③以罩單覆蓋牽引繩錯誤,覆蓋物會壓迫繩索影響滑動並改變拉力。④隨病人需要隨時調整牽引重量錯誤,重量須依醫囑固定,不可任意增減。含③或④的 A、B、D 皆不當,唯①②⑤正確。","有效牽引須維持:重錘自由懸空不落地、繩索在滑輪順暢滑動、對抗牽引(如抬高床尾)提供反作用力、方向沿骨長軸。任意變動重量或讓砝碼著地都會使牽引失效或造成疼痛與復位不良。護理另重視皮膚完整、神經血管評估與預防制動併發症。記憶:牽引四不『不落地、不擺動、不覆繩、不亂加減重量』,方向順著骨頭走。",[24,27,30],{"term":25,"count":26},"骨骼牽引原則",2,{"term":28,"count":29},"牽引力沿骨長軸",1,{"term":31,"count":29},"重錘懸空與摩擦力",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-014","有關美尼爾氏症（Ménière’s disease），下列敘述何者最不適當？",14,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-115-2-medical-surgical-010","有關食道內視鏡檢查的敘述，下列何者錯誤？",10,115,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-106-1-medical-surgical-054","病人移除人工氣道後，出現下列何種現象應做緊急處理？",54,106,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-medical-surgical-012","有關胃潰瘍與十二指腸潰瘍之敘述，下列何者錯誤？",12,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-108-2-medical-surgical-056","下列何者為支氣管擴張症最主要的病因？",56,108,{"webId":58,"stem":59,"number":40,"year":60,"session":29},"nurse-110-1-medical-surgical-010","有關各種肝硬化的臨床表徵，下列何者錯誤？",110,"2026-09-04",1788510761946]