[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-045":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-111-2-內外科護理學-045","nurse-111-2-medical-surgical-045",111,2,45,"皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",{"A":14,"B":15,"C":16,"D":17},"第一期","第二期","第三期","無法分期","C",null,[],"本題考點為壓傷(壓瘡)的分期。依 NPUAP 分期標準,傷口深達皮下脂肪組織可見、可能有滲液,但未穿透至筋膜、肌肉或骨骼,屬第三期壓傷,選 C。第一期為皮膚完整、局部發紅不退白;第二期為表皮或部分真皮缺損、呈淺層潰瘍或水泡,尚未見脂肪;第四期則深及肌肉、肌腱或骨骼。若傷口被壞死組織(腐肉或焦痂)覆蓋無法判斷深度才是「無法分期」。本題「看得到皮下脂肪」正是第三期的分界特徵。",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？",6,1783840780512]