[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-115-2-內外科護理學-008","nurse-115-2-medical-surgical-008",115,2,8,"有關痔瘡的敘述，下列何者正確？①教導病人手術後一週開始溫水坐浴，促進傷口癒合 ②內痔與外痔的分界線是肛門黏膜與上皮相接的齒狀線（dental line） ③內痔區域是由自主神經所支配、外痔區域則是由體／知覺神經所支配 ④痔瘡切除術後教導病人採仰臥，利用填塞於直腸內的敷料加壓傷口止血",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","C",null,[],"本題考點是痔瘡的解剖分界與神經支配。②正確,內痔與外痔以齒狀線為界,該線是肛門黏膜與皮膚上皮的交接處。③正確,齒狀線以上的內痔區由自主神經(內臟神經)支配,痛覺不敏感,故內痔常以無痛性鮮紅色出血或脫垂為主要表現;齒狀線以下的外痔區由體神經(知覺神經)支配,痛覺敏銳,故外痔以明顯疼痛為特徵,答案為 C。①錯在時機,溫水坐浴通常在術後 1 至 2 天、確認無活動性出血後即開始,每次約 15 至 20 分鐘,不必等一週。④錯在姿勢,痔瘡切除術後採側臥或俯臥以減少肛門部位受壓,仰臥會直接壓迫傷口。","痛與不痛的分界靠齒狀線這條神經界線,是本題可延伸到多個題型的核心:內痔依脫垂程度分四度(一度僅出血、二度排便時脫出可自行回縮、三度需手動回推、四度無法回推),外痔則常見血栓性外痔的急性劇痛與硬結。術後護理群組:溫水坐浴促進循環與舒適、高纖高水分飲食搭配軟便劑避免用力、避免久坐久站與長時間如廁、觀察首次排便前後的出血量;另需注意肛門疼痛與麻醉後常見的尿滯留。與肛門廔管、肛裂的鑑別在疼痛型態與出血量,可一併整理成對照表。",[24,26,29,31],{"term":25,"count":10},"痔瘡切除術後護理",{"term":27,"count":28},"痔瘡",1,{"term":30,"count":28},"齒狀線",{"term":32,"count":28},"內臟神經與體神經支配",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-009","下列何者為十二指腸潰瘍病人最常見之主訴？①「吃了東西之後痛得更厲害。」 ②「疼痛很少發生在半夜。」 ③「吃了東西後，疼痛就改善多了！」 ④「半夜常常因為痛而醒來。」",9,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-medical-surgical-055","有關槤枷胸之敘述，下列何者正確？",55,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-medical-surgical-069","下列何者不是肢端肥大症之症狀？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-medical-surgical-027","有關心律不整藥物之敘述，下列何者正確？",27,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-medical-surgical-071","有關高血磷病人的護理指導，下列何者正確？①少吃堅果類與糙米飯 ②多補充維生素 D ③監測小便量與肝功能 ④注意下床活動安全 ⑤服用磷結合劑",71,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-025","有關感覺神經性聽力喪失的敘述，下列何者正確？",25,110,"2026-08-06",1787299037010]