[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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":11},"nurse-106-2-基本護理學與護理行政-034","nurse-106-2-fundamental-nursing-034",106,2,34,"毛先生鼻咽癌接受同步化學治療與放射線治療，口腔內頰有一個 2 × 2 公分的潰瘍，可使用的口腔護理溶液，下列何者不適當？",{"A":15,"B":16,"C":17,"D":18},"以生理食鹽水漱口清潔","以麻醉性溶液漱口止痛","以 10% 雙氧水漱口清潔","以 2%硼酸水漱口消除口臭","C",null,[],"本題考點是放化療口腔潰瘍病人的口腔護理溶液選擇。依黏膜癒合原理,已有潰瘍的黏膜需避免刺激性強、會破壞新生肉芽與上皮的溶液,而 10% 雙氧水濃度過高,釋出的氧氣泡與強氧化性會刺激傷口、延緩黏膜修復,故不適當,選 C。A 生理食鹽水等張、溫和,是清潔口腔的首選,適當;B 麻醉性溶液(如 lidocaine 漱口)可緩解潰瘍疼痛以利進食,適當;D 2% 硼酸水屬弱防腐、可協助去除口臭,濃度低刺激性相對小,較 C 溫和。四者相較,唯高濃度雙氧水對潰瘍傷害最大。","放化療引起的口腔黏膜炎(mucositis)源於快速分裂的黏膜基底細胞受損。護理原則是『溫和清潔、止痛、保濕、防感染』。雙氧水即使低濃度也僅短期用於清除厚痂,長期或高濃度會改變口腔菌叢並灼傷黏膜。可連結至化療黏膜炎分級(WHO grade)與冷凍療法(口含冰塊)預防的概念。",[25,27,29,32],{"term":26,"count":11},"口腔黏膜炎",{"term":28,"count":11},"生理食鹽水口腔護理",{"term":30,"count":31},"雙氧水刺激性",1,{"term":33,"count":31},"放化療潰瘍",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-2-fundamental-nursing-035","為中風老人翻身側臥擺位時，下列敘述何者不適當？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-107-1-fundamental-nursing-051","有關屍僵發生前屍體擺置的處置，下列敘述何者錯誤？",51,107,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-107-2-fundamental-nursing-065","組織中的溝通是持續性的，意指：",65,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-109-1-fundamental-nursing-023","Ampicillin（500mg）1 vial 粉劑藥物，病人需 Ampicillin 250 mg iv，備藥過程下列何者正確？",23,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-fundamental-nursing-067","選擇品質改善項目之優先順序，下列何者應為優先項目？",67,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-2-fundamental-nursing-021","當一個人的動脈血中 pH 值：7.25，PaCO 2 ：65 mmHg，〔HCO 3- 〕：25 mEq\u002FL，在臨床上是屬於那一類酸鹼平衡失調？",21,111,"2026-09-04",1788510697740]