[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-內外科護理學-011","nurse-115-1-medical-surgical-011",115,1,11,"病人因左側股骨骨折而接受石膏制動之治療，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"上石膏前，部位皮膚要用石膏襪套及棉墊包覆","石膏乾燥過程中，左側上石膏處不要覆蓋衣物","左側肢體如果出現6P，表示可能有腔隙症候群","皮膚如果出現瘀斑，表示可能有低血容性休克","D",null,[],"本題考點是石膏固定的護理原則與併發症判讀。依骨折局部病生理,骨折處血管撕裂使血液滲入軟組織,數日後在皮膚表面顯現瘀斑,這反映局部出血與重力擴散,不能據此推論全身循環容積不足,低血容性休克要靠心跳加快、血壓下降、尿量減少等生命徵象判斷,故 D 錯誤。A 正確:石膏襪套與棉墊可保護皮膚並減少壓迫與摩擦。B 正確:石膏乾燥需散熱與水分蒸發,覆蓋衣物會延長乾燥並蓄熱。C 正確:6P 出現代表腔室內壓上升壓迫血管神經,屬腔隙症候群警訊。","腔隙症候群的 6P 可背成疼痛(pain,且與外觀不成比例)、蒼白(pallor)、無脈(pulselessness)、麻刺感(paresthesia)、麻痺(paralysis)、溫度改變(poikilothermia);其中「被動伸展時劇痛」與感覺異常最早出現,無脈屬晚期。處置方向是解除外在壓迫而非抬高過心臟,因為過度抬高反使灌流壓下降。石膏照護其他常考點:濕石膏用手掌托而非手指抓以免壓出凹陷點造成壓傷、開窗與剖開石膏的適應症、聞到異味或有滲液代表下方皮膚感染。至於股骨骨折真正要警覺的失血,是骨折本身可積蓄大量血液與脂肪栓塞症候群。",[24,27,29,31],{"term":25,"count":26},"石膏護理",4,{"term":28,"count":10},"腔隙症候群 6P",{"term":30,"count":10},"骨折局部出血瘀斑",{"term":32,"count":10},"低血容性休克指標",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-medical-surgical-012","有關不同關節炎之比較，下列何者正確？",12,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-medical-surgical-008","有關腦脊髓液的分析結果，下列何者正常？",8,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-medical-surgical-022","有關美尼爾氏症之敘述，下列何者正確？",22,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-medical-surgical-060","有關腎移植後產生的排斥現象，下列何者預後最佳？",60,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-medical-surgical-024","有關喉癌病人接受全喉切除術後之護理處置，下列何者錯誤？",24,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-medical-surgical-058","有關促進急性呼吸窘迫症候群（ARDS）病人有效呼吸道清除的護理措施，下列何者正確？",58,110,"2026-08-06",1787299088633]