[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-115-2-內外科護理學-011","nurse-115-2-medical-surgical-011",115,2,11,"有關病人因右側髖骨骨折接受全髖關節置換術之護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"臥床時，保持右腿平直內收","使用枴杖上下樓梯時，雙枴跟右腳先上","術後髖關節屈曲要保持小於 90 度","若右腳出現疼痛加劇或變短，可能是腔隙症候群","C",null,[],"本題考點是全髖關節置換術後預防人工關節脫位的動作限制。依術後護理原則,患側髖關節屈曲須保持小於 90 度,同時不可內收超過身體中線、不可內旋,故選 C。A 錯在內收,臥床時患肢應維持外展中立位,常以外展枕或枕頭固定,內收正是脫位的主要機轉之一。B 錯在上下樓梯順序,原則是健側先上、患側先下,本題患肢為右側,故上樓應由左腳先上,雙枴與右腳隨後。D 錯在併發症判讀,患肢突然疼痛加劇並變短、伴隨異常旋轉是人工關節脫位的典型表現;腔隙症候群多發生於骨折或石膏固定後,因肌腔室內壓上升造成的神經血管壓迫。","三禁忌動作(屈髖超過 90 度、內收過中線、內旋)可延伸出一整組居家指導:不坐低矮沙發與矮馬桶(改用增高便座)、不翹腳與交叉雙腿、不彎腰穿襪撿物(改用長柄取物夾、鞋拔與穿襪輔具)、睡覺以外展枕維持位置。上下樓梯記法「good goes up, bad goes down」——好腳先上樓、壞腳先下樓,原理是讓健側承擔提升與煞停時較大的力矩。早期併發症除脫位外還有深部靜脈栓塞與肺栓塞,故術後強調足踝運動、彈性襪與抗凝藥物;晚期則注意人工關節鬆脫與感染。",[24,27,29,32],{"term":25,"count":26},"全髖關節置換術",6,{"term":28,"count":10},"人工關節脫位預防",{"term":30,"count":31},"髖關節屈曲小於 90 度",1,{"term":33,"count":31},"枴杖上下樓梯原則",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-2-medical-surgical-012","有關輔具使用之敘述，下列何者錯誤？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-106-1-medical-surgical-058","評估呼吸道阻塞嚴重度的指標，下列何者最重要？",58,106,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-106-2-medical-surgical-072","為路倒者執行心肺腦復甦術期間，當接上電擊器顯示為心搏停止，此時應執行之急救措施，下列何者正確？",72,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-108-1-medical-surgical-030","有關毛地黃中毒症狀，下列何者正確？①腹瀉 ②便祕 ③噁心嘔吐 ④黃色視覺 ⑤紅色視覺 ⑥心跳變快",30,108,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-109-1-medical-surgical-074","有關監測敗血症病人液體療法之生理指標，下列何者最可能需調節輸液？",74,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-medical-surgical-028","有關心肌梗塞病人的護理，下列敘述何者錯誤？",28,110,"2026-08-06",1787299037032]