[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":39,"lastmod":68},"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-027","nurse-115-1-fundamental-nursing-027",115,1,27,"關於肢體繃帶包紮原則與注意事項，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"包紮時應將肢體放低","由遠心端往近心端開始包紮","評估皮膚與循環狀況","骨突處可放置紗布或棉墊","A",null,[],"本題考點是肢體繃帶包紮的基本原則，屬於「找錯誤敘述」題型。依靜脈回流與水腫預防原理，包紮時肢體應抬高於心臟位置，藉重力促進靜脈與淋巴回流、減少末梢腫脹；若如 A 所述把肢體放低，靜脈血鬱積會使包紮後腫脹加劇並壓迫循環，故 A 為錯誤敘述、即本題答案。B 正確，由遠心端往近心端包紮可將血液推回心臟、避免遠端鬱血。C 正確，包紮前後都須評估膚色、溫度、感覺、脈搏與微血管填充等循環徵象，以便及早發現壓迫。D 正確，骨突處墊紗布或棉墊可分散壓力、避免局部組織受壓缺血而形成壓傷。","包紮壓力的生理界線在於毛細血管平均壓約 25 至 32 mmHg，壓力超過此值即造成組織灌流不足，故骨突處加墊與均勻施壓同樣重要。繃帶松緊的自評指標是包紮後遠端仍可摸到脈搏、指甲床按壓後 3 秒內回血、無麻木或刺痛。口訣「高、遠、勻、墊、查」：抬高肢體、由遠而近、壓力均勻、骨突加墊、前後評估循環。可延伸連結彈性繃帶用於靜脈曲張與淋巴水腫的加壓治療原理，以及石膏或包紮後神經血管損傷的 5P 觀察（疼痛、蒼白、無脈、感覺異常、麻痺）。",[25,28,31,34,37],{"term":26,"count":27},"靜脈回流",8,{"term":29,"count":30},"繃帶包紮原則",5,{"term":32,"count":33},"壓傷預防",3,{"term":35,"count":36},"神經血管評估",2,{"term":38,"count":11},"遠心端至近心端",[40,44,49,53,58,63],{"webId":41,"stem":42,"number":43,"year":10,"session":11},"nurse-115-1-fundamental-nursing-028","病人身高160公分、體重55公斤，其身體質量指數（BMI）結果，下列何者正確？",28,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-106-1-fundamental-nursing-024","下列溶液何者可於輸血前後使用於同一條輸液管路？",24,106,{"webId":50,"stem":51,"number":52,"year":48,"session":36},"nurse-106-2-fundamental-nursing-038","使用下列何種藥物易導致便秘的問題？①長期使用抗生素 ②含鎂制酸劑 ③鐵劑 ④抗膽鹼激素藥物（如：Atropine） ⑤麻醉性止痛劑（如：Morphine）",38,{"webId":54,"stem":55,"number":56,"year":57,"session":36},"nurse-107-2-fundamental-nursing-076","護理主任參考過去之業務及用途來擬訂預算是屬於下列何種預算型式？",76,107,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-109-1-fundamental-nursing-040","一位 75 歲男性、身材適中、有心房纖維震顫、高血壓及梗塞性腦中風導致右側肢體偏癱的住院病人，目前左手注射 D 5 W+KCL 10 mEq 40 c.c.\u002F小時，以電子血壓計測量血壓，下列有關血壓和脈搏測量，何者最適當？",40,109,{"webId":64,"stem":65,"number":66,"year":67,"session":11},"nurse-110-1-fundamental-nursing-074","承上題，醫師看到家屬正在氣頭上，於是以「冷處理」應對，並希望收集更多資料後再做進一步反應。依據 Thomas（1976）的衝突處理行為，醫師的應對是屬於下列何種行為？",74,110,"2026-08-06",1787299088263]