[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-019":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-106-2-內外科護理學-019","nurse-106-2-medical-surgical-019",106,2,19,"有關痛風性關節炎急性期病人之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"服用 Allopurinol 可以抑制炎症反應","使用護架可以減輕疼痛","熱敷可以減輕炎症反應","執行全關節運動可以減輕患部腫脹","B",null,[],"本題考點是痛風性關節炎『急性期』的護理。依急性期原則以休息、止痛、消炎為主,患部極度疼痛且怕壓,使用護架(bed cradle)撐起被單、避免壓迫患處可減輕疼痛,故(B)正確。(A)Allopurinol是抑制尿酸生成的『降尿酸』藥,用於發作間期預防,對急性發炎無效且急性期不宜開始使用。(C)急性發炎關節應冰敷消炎,熱敷會加重紅腫熱痛。(D)急性期應讓關節休息,執行全關節運動會加劇疼痛與發炎。","痛風分期用藥:急性期以NSAID、秋水仙素(colchicine)或類固醇消炎止痛;緩解期才用降尿酸藥(allopurinol抑制黃嘌呤氧化酶、probenecid促排泄)。急性期驟然降尿酸反可能誘發或延長發作。護架、冰敷、抬高、休息為急性期非藥物照護四要點。",[24,26,29,31],{"term":25,"count":10},"Allopurinol",{"term":27,"count":28},"痛風急性期",1,{"term":30,"count":28},"護架",{"term":32,"count":28},"冰敷",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-medical-surgical-020","有關全髖關節置換術病人出院之護理指導，下列何者正確？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-medical-surgical-036","有關癌症疼痛治療三階段給藥之敘述，下列何者正確？①定時給藥 ②需要時給藥 ③口服優先 ④先考慮靜脈注射給藥 ⑤優先考慮低效性麻醉劑 ⑥先從非麻醉性製劑開始",36,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-medical-surgical-050","有關愛滋病防治之敘述，下列何者正確？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-medical-surgical-008","有關闌尾炎護理措施的敘述，下列何者正確？",8,109,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-110-1-medical-surgical-052","車禍外傷病人出現胸部右側聽不到呼吸音，且氣管向左側偏移，下列處置何者最適當？",52,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-medical-surgical-006","有關巴金森氏症病人的臨床表徵，下列何者錯誤？",6,111,"2026-09-04",1788510698400]