[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-115-1-基本護理學與護理行政-014","nurse-115-1-fundamental-nursing-014",115,1,14,"腳踝扭傷後三天，病人仍疼痛且患部有瘀青，但無水腫情況，給與該部位熱敷的作用機轉，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"增加微血管通透性，有利患部修復","使神經傳導受阻，可減少疼痛感","增加血液黏滯性，有助於血液凝固","減少結締組織伸展性，避免拉扯患部","A",null,[],"本題考點為熱敷的生理作用機轉。扭傷急性期(約24至48小時)過後且無腫脹時可改用熱敷:熱使局部血管擴張、血流增加,並提高微血管通透性,促進組織液與瘀血的吸收代謝,同時帶來氧氣與養分,有利患部修復,故A正確。B錯誤,使神經傳導變慢受阻而止痛是「冷敷」的機轉,熱敷止痛是經由肌肉放鬆與促進代謝廢物移除;C錯誤,增加血液黏滯性、有助血液凝固是冷敷的作用;D錯誤,熱敷會「增加」結締組織的伸展性,使僵硬減輕、活動度改善,而非減少伸展性。","冷熱療對照表:熱敷→血管擴張、微血管通透性增加、代謝加快、肌肉鬆弛、結締組織伸展性增加,適用慢性期、僵硬、促進瘀血吸收;冷敷→血管收縮、通透性降低、神經傳導變慢(止痛)、血液黏滯性增加(助止血),適用急性期(受傷後24-48小時)、出血、急性腫脹。記法:「急冷慢熱」——急性止血消腫用冷,慢性修復放鬆用熱。本題受傷已三天、僅瘀青無水腫,正是改用熱敷促進吸收的時機。",[25,28,30],{"term":26,"count":27},"微血管通透性",3,{"term":29,"count":11},"熱敷血管擴張機轉",{"term":31,"count":11},"冷熱療適應症區辨",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-115-1-fundamental-nursing-015","王太太生產會陰部有撕裂傷口，醫囑每天執行溫水坐浴（Sitz Bath）二次，下列敘述何者錯誤？",15,{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-106-1-fundamental-nursing-011","下列敘述何者錯誤？",11,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-fundamental-nursing-025","有關乾冷或乾熱在人體應用上的敘述，下列何者正確？",25,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-fundamental-nursing-063","在醫院的營運成本中，下列何者屬於固定成本？①電費 ②醫療耗材 ③房屋租金 ④設備折舊 ⑤人員薪資",63,107,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-109-1-fundamental-nursing-027","張先生，腸道手術後第一天，NPO 中，目前使用鼻胃管抽吸引流，引流量多，下列靜脈輸注溶液，何者最適用？",27,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-1-fundamental-nursing-061","下列何者為規劃護理管理工作之核心觀念？",61,110,"2026-08-06",1787299088139]