[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-028":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":10},"nurse-115-1-內外科護理學-028","nurse-115-1-medical-surgical-028",115,1,28,"長期臥床病人採仰臥姿勢時，下列何者是皮膚壓力性損傷較不常發生的部位？",{"A":14,"B":15,"C":16,"D":17},"肩胛骨","尾骶骨","坐骨結節","腳跟","C",null,[],"本題考點是不同臥姿所對應的壓力性損傷高危部位。壓力性損傷發生於骨突處，軟組織被夾在骨頭與床面之間形成局部缺血；仰臥時的承重點依序為枕骨、肩胛骨、肘部、尾骶骨與腳跟。坐骨結節位於骨盆下緣，只有在坐姿或半坐臥、身體重量向下壓在臀部時才成為主要著力點，仰臥時並未直接受壓，故C是較不常發生的部位。A肩胛骨與D腳跟都是仰臥時直接壓在床面的骨突，腳跟因軟組織薄且血流供應差尤其脆弱。B尾骶骨是仰臥壓力最集中處，也是臨床上壓力性損傷發生率最高的位置。","壓力性損傷的四大力學因素是壓力、剪力、摩擦力與潮濕，其中壓力大小與作用時間的乘積決定組織耐受度，因此翻身頻率與減壓床墊是預防核心。姿勢對照可整理成表：仰臥＝枕骨、肩胛骨、肘、尾骶骨、腳跟；側臥＝耳殼、肩峰、肋骨、髖骨大轉子、膝內外側、腳踝；俯臥＝額、頰、胸、髂前上棘、膝、腳趾；坐姿＝坐骨結節、尾骶骨、腳跟。半坐臥（頭抬高超過三十度）最容易產生剪力，使皮膚固定而深層組織被拉扯，造成表面看起來完好但深部組織已損傷，臨床上表現為深部組織損傷期。腳跟因缺乏肌肉緩衝且末梢循環差，減壓時常需將小腿懸空使腳跟離床。可延伸複習壓力性損傷分期與 Braden 量表六項評估內容。",[24,26,28,30,31],{"term":25,"count":10},"壓力性損傷",{"term":27,"count":10},"骨突受壓部位",{"term":29,"count":10},"仰臥承重點",{"term":16,"count":10},{"term":32,"count":10},"剪力",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-medical-surgical-029","吳太太因腫瘤接受化學治療，口腔出現疱疹性齒齦口腔炎（herpetic gingivostomatitis），下列敘述何者正確？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-medical-surgical-025","有關心包膜填塞手術治療後之護理措施，下列何者最不需要？",25,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-medical-surgical-039","下列那種檢查是協助確定癌症診斷最有效的方法？",39,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-medical-surgical-077","有關有機磷中毒臨床處置之敘述，下列何者錯誤？",77,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-medical-surgical-041","有關大面積重度燒傷初期（48 小時內），對於心臟血管系統造成的影響，下列何者錯誤？",41,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-medical-surgical-075","承上題，下列處置何者錯誤？",75,110,"2026-08-06",1787299088837]