[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-004":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-112-3-內外科護理學-004","nurse-112-3-medical-surgical-004",112,3,4,"有關病人脊椎手術後 48 小時內的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"評估神經功能的改變，尤其是手腳的感覺運動功能","病人解便時，須採圓滾木式翻身及使用一般便盆","床墊可採用中硬度的床墊","注意傷口是否有腦脊髓液滲漏","B",null,[],"本題考點在於脊椎手術後 48 小時內維持脊椎穩定與偵測併發症的護理。本題為反向題，錯誤敘述為 B：術後翻身確須採整體一致的圓滾木式（log-rolling）以維持脊椎軸線對齊，但排便時使用一般便盆會迫使脊椎彎曲與扭轉，應改用扁平的骨盆便盆（fracture pan）以減少脊椎受力，故選 B。判斷關鍵是「一般便盆會使脊椎屈曲」。A 密切評估四肢感覺與運動功能以早期發現神經損傷，正確。C 使用中硬度床墊支撐脊椎，正確。D 觀察傷口是否有腦脊髓液滲漏（清澈滲液、可能引發頭痛），正確。",1,[24,28,32,35,38,42],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"webId":36,"stem":37,"number":11,"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？",{"webId":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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？",6,1783840782159]