[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-109-2-內外科護理學-035","nurse-109-2-medical-surgical-035",109,2,35,"王先生入院接受心導管檢查，此次檢查穿刺左側橈動脈，下列護理處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"教導病人加壓傷口至少 2 小時，並觀察有無出血","檢查後，第 1 小時應每 15 分鐘測量雙手血壓，並做比較","以 6P（pain、pallor、pulselessness、poikilothermia、paralysis、paresthesia）評估病人雙手末梢，並做比較","教導病人出院後，左手禁提重物","B",null,[],"本題考點是經橈動脈（radial approach）心導管術後的護理，並找出「錯誤」項。考點在於辨識穿刺側肢體應盡量避免加壓與影響循環的操作：在剛穿刺加壓止血的左手上反覆量血壓，壓脈帶充氣會壓迫傷口、增加出血或血腫風險，也影響末梢灌流，故B屬錯誤處置。A正確，橈動脈屬淺表動脈，術後須加壓傷口並觀察出血。C正確，以6P（疼痛、蒼白、無脈、溫度異常、麻痺、感覺異常）評估雙手末梢循環並比較是標準做法。D正確，穿刺側手術後短期禁提重物，以免傷口出血或假性動脈瘤。因此唯一錯誤是B在穿刺側加壓測血壓比較。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840755094]