[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-012":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":26},"nurse-115-2-內外科護理學-012","nurse-115-2-medical-surgical-012",115,2,12,"有關輔具使用之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"助行器手把高度要與病人腰同高且手肘可彎曲 30°","患側下肢不能承受重量時可用枴杖的三點式步態","使用枴杖前需先增強患側下肢的肌肉強度","手杖應握於健側，且行走時需和患肢同出","C",null,[],"本題考點是輔具高度、步態選擇與使用前的肌力準備。依復健原則,使用枴杖時體重主要由上肢與肩帶肌群承擔,因此使用前需加強的是上肢肌力(肱三頭肌、闊背肌)與握力,而非患側下肢,故錯誤敘述為 C。A 正確,助行器與手杖高度約與病人腰部(大腿股骨大轉子、手腕橫紋)同高,使手肘維持約 20 至 30 度微彎,才能有效傳遞力量並保持穩定。B 正確,患側下肢無法承重時採三點式步態,由雙枴與健側下肢交替承重前進。D 正確,手杖握於健側,行走時手杖與患肢同時前出,以分擔患側的負重。","步態可依承重能力排序整理:三點式(患肢完全不承重,雙枴加健側)、部分承重的改良三點式、四點式(雙下肢皆可承重但需最大穩定度,速度最慢)、兩點式(接近正常步態、速度較快)、拖曳式(雙下肢麻痺者以上肢帶動身體)。高度設定的力學意義:手肘保持 20 至 30 度屈曲時,肱三頭肌處於較有效率的長度,可產生足夠推撐力並在支撐相吸收衝擊;過高會使肩部聳起、壓迫腋下神經血管,過低則造成彎腰駝背與腰痠。手杖與患肢同進可延長支撐底面積,模擬對側手腳交替的自然步態。",[24,27,29,31],{"term":25,"count":26},"枴杖與助行器高度",1,{"term":28,"count":26},"三點式步態",{"term":30,"count":26},"上肢肌力訓練",{"term":32,"count":26},"手杖使用原則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-medical-surgical-059","林先生，30 歲，無特殊疾病，因發燒、小便混濁及急性後背腰痛到急診，發現有尿道感染及輸尿管結石 0.5 cm，有關此急性期之護理措施，下列何者錯誤？",59,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-medical-surgical-073","有關診斷敗血症之檢驗項目，下列何者錯誤？",73,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-medical-surgical-031","主要症狀為腹水、下肢水腫及肝脾腫大之瓣膜性心臟病病人，其最可能的瓣膜問題為下列何者？",31,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-medical-surgical-075","有關肉毒桿菌中毒的敘述，下列何者錯誤？",75,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-029","有關心臟血管系統檢查評估的敘述，下列何者錯誤？",29,110,"2026-08-06",1787299037049]