[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-115-2-基本護理學與護理行政-027","nurse-115-2-fundamental-nursing-027",115,2,27,"有關半坐臥時壓力性損傷的好發部位，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"肩胛骨","腸骨嵴","薦骨","腳跟","B",null,[],"本題考點是不同臥位下壓力性損傷的好發骨突部位。壓力性損傷發生在骨突處軟組織受持續壓力與剪力之處,半坐臥(Fowler's position)時身體重量集中於背部與臀部,好發於薦骨、肩胛骨、肘部、坐骨粗隆與腳跟。腸骨嵴是髖部側面的骨突,受壓發生在側臥時被壓在下側或俯臥時抵住床面,並非半坐臥的受力點,故 B 為錯誤敘述,選 B。A 肩胛骨在半坐臥時直接抵住床頭;C 薦骨承受最大剪力,是半坐臥最典型的部位;D 腳跟因下肢重量下壓與摩擦亦常受損,三者敘述皆正確。","半坐臥的關鍵機轉是剪力:床頭抬高後,皮膚被床面摩擦固定,深層骨骼卻隨重力往下滑,薦骨處的血管被拉扯扭曲,組織缺氧比單純垂直壓力更快發生,這也是床頭抬高角度建議控制在 30 度以下的原理。記憶方式按臥位對照:平躺看枕骨、肩胛骨、薦骨、腳跟;半坐臥看肩胛骨、薦骨、坐骨粗隆、腳跟;側臥看耳殼、肩峰、腸骨嵴、大腿骨大粗隆、膝內外側、腳踝;俯臥看前額、顴骨、胸部、腸骨嵴、膝、腳趾。腸骨嵴與大腿骨大粗隆同屬「側臥組」,是本題的辨別關鍵。可延伸連結壓力性損傷分期與 Braden 量表六項評估指標。",[25,28,30,32,35],{"term":26,"count":27},"剪力",5,{"term":29,"count":11},"壓力性損傷好發部位",{"term":31,"count":11},"骨突處受壓",{"term":33,"count":34},"半坐臥姿勢",1,{"term":17,"count":34},[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-115-2-fundamental-nursing-028","有關水溶性維生素缺乏的敘述，下列何者正確？",28,{"webId":42,"stem":43,"number":44,"year":45,"session":34},"nurse-106-1-fundamental-nursing-074","路徑目標理論中對部屬十分友善，關心部屬的需求，作為自己決策的參考，是屬於下列那一型領導行為？",74,106,{"webId":47,"stem":48,"number":49,"year":50,"session":34},"nurse-107-1-fundamental-nursing-008","有關「醫囑」的敘述，下列何者正確？",8,107,{"webId":52,"stem":53,"number":54,"year":55,"session":34},"nurse-108-1-fundamental-nursing-046","朱先生因中風造成左半邊肢體肌肉無力，肌肉力量測試為「0」分，護理人員協助執行患側髖關節被動性運動，有關動作執行過程，下列敘述何者正確？",46,108,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-2-fundamental-nursing-010","孫先生昨天開始解尿不順、尿道灼熱感，臉色發紅、皮膚溫暖乾燥，生命徵象：血壓 126 \u002F 76 mmHg、體溫 39.2°C（耳溫）、脈搏 116 次／分、呼吸 26 次／分，孫先生出現發燒現象，下列護理措施何者不適當？",10,109,{"webId":62,"stem":63,"number":64,"year":65,"session":11},"nurse-110-2-fundamental-nursing-044","下列何者是最可能發生心搏速率 > 100 次／分的情況？",44,110,"2026-08-06",1787299031720]