[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-028","nurse-114-3-medical-surgical-028",114,3,28,"有關皮膚和傷口照護原則，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"銅、硒、矽等微量元素，有助於傷口癒合","必要時採隔離照護，避免感染","清創術移除壞死組織，有助於傷口癒合","傷口在保持乾燥的環境下，有助於上皮化（epithelization）過程","D",null,[],"本題考點在於傷口癒合的濕潤環境原則。本題為反向題,要選出最不適當者。錯誤敘述為D:傷口並非在乾燥環境下促進上皮化,而是「濕潤傷口癒合」理論指出適度濕潤能加速上皮細胞移行、減少結痂與疼痛,故D不當。A正確,銅、硒等微量元素參與膠原合成與抗氧化,有助傷口癒合;B正確,傷口感染風險高時採隔離照護可避免交叉感染;C正確,清創術移除壞死組織可減少細菌溫床、促進肉芽組織生長。故最不適當者為D。","濕潤傷口癒合(moist wound healing)由Winter於1962年提出,濕潤環境利於角質細胞移行、酵素性清創與生長因子作用;乾燥結痂反而阻礙上皮爬行。現代敷料(如水膠、藻膠)設計以維持適度濕潤為主。對比重點:傷口需「濕潤但不浸潤」,滲液過多也會浸軟周邊皮膚。",[24,27,30,32],{"term":25,"count":26},"濕潤傷口癒合",2,{"term":28,"count":29},"上皮化epithelization",1,{"term":31,"count":29},"清創術",{"term":33,"count":29},"微量元素與傷口癒合",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-029","有關改善過敏反應的生活指導，下列敘述何者最適當？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-025","有關化學治療藥物滲漏之處理方式，下列何者最不適當？",25,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-069","有關糖尿病病人飲食控制原則之敘述，下列何者正確？",69,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-027","針對心房纖維顫動病人使用 warfarin（coumadin）之目的，下列何者正確？",27,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-medical-surgical-071","有關副甲狀腺機能亢進病人之護理指導，下列何者正確？",71,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-025","有關急性中耳炎之敘述，下列何者正確？",110,"2026-09-04",1788510762094]