[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-115-1-內外科護理學-018","nurse-115-1-medical-surgical-018",115,1,18,"有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",{"A":14,"B":15,"C":16,"D":17},"①②③","①④⑤","②③⑤","③④⑤","A",null,[],"本題考點是靜脈性與動脈性下肢潰瘍的評估區辨。依慢性靜脈功能不全的病生理,靜脈瓣膜失能使下肢靜脈壓長期升高,液體與紅血球滲出組織,故①潰瘍多見於足踝內側靠近大隱靜脈行經處、②紅血球分解後鐵色素沉積造成褐色色素沉著、③靜脈壓升高造成凹陷性水腫,三者皆為典型表現,選 A。④趾甲變厚與⑤腳趾潰瘍反映的是動脈灌流不足,組織營養與癒合能力下降時最末端先受害,屬周邊動脈疾病的特徵,不符靜脈鬱滯的機轉。","兩類潰瘍對照最好記:靜脈性=足踝內側、邊緣不規則、滲液多、周圍色素沉著與濕疹、疼痛較輕且抬高可緩、脈搏可摸到、處置以彈性壓迫與抬高患肢為主;動脈性=腳趾與足部壓力點、邊緣清楚呈打洞狀、乾燥少滲液、皮膚薄亮無毛、趾甲增厚、脈搏減弱、間歇性跛行與夜間抬高時更痛,處置以改善灌流為主,壓迫療法反而有害。因此「抬高會不會舒服」與「潰瘍長在哪」是床邊最快的分類線索。延伸複習:靜脈鬱滯性皮膚炎與脂性皮膚硬化、Trendelenburg 試驗、踝臂血壓比在區辨與壓迫治療安全性上的角色。",[24,26,28,30],{"term":25,"count":10},"慢性靜脈功能不全",{"term":27,"count":10},"鬱滯性潰瘍",{"term":29,"count":10},"含鐵血黃素色素沉著",{"term":31,"count":10},"動脈性潰瘍特徵",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-019","有關心因性休克護理重點之敘述，下列何者錯誤？",19,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-015","有關消化性潰瘍主要包括的病變部位，下列何者正確？①口腔潰瘍 ②食道潰瘍 ③胃潰瘍 ④十二指腸潰瘍",15,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-029","有關心律不整之治療，下列何者正確？",29,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-067","有關血液透析不平衡症候群之敘述，下列何者正確？",67,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-031","下列血脂肪之檢驗值何者不正常？",31,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-065","有關腎病症候群之照護措施，下列何者錯誤？",65,110,"2026-08-06",1787299088729]