[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-109-1-內外科護理學-020","nurse-109-1-medical-surgical-020",109,1,20,"上石膏後 24 小時內病人的護理評估結果，下列何者應做立即處置？",{"A":14,"B":15,"C":16,"D":17},"石膏表面有灼熱點","石膏肢體遠端有輕微水腫","石膏肢體內皮膚搔癢","石膏肢體有酸味","A",null,[],"本題考點在於上石膏後24小時內須立即處置的警訊辨識。石膏內肢體最須警覺神經血管損傷與感染。選項A石膏表面出現「灼熱點（hot spot）」提示下方組織壓迫壞死或感染化膿產熱，屬須立即處理的異常，故選A。選項B石膏遠端輕微水腫在初期常見，抬高患肢即可觀察，非緊急；選項C皮膚搔癢常見且不可將物品伸入抓癢，屬衛教而非急處置；選項D酸味雖須留意，但單一酸味在早期未必代表急性壞死，相較灼熱點的組織壞死警示性低。故最需立即處置者為石膏灼熱點。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840747373]