[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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-106-2-精神科與社區衛生護理學-026","nurse-106-2-psychiatric-community-026",106,2,26,"下列何種藥物濫用會因長期嗅吸造成鼻中膈穿孔、肺受損及靜脈注射感染疾病？",{"A":14,"B":15,"C":16,"D":17},"古柯鹼","安非他命","K 他命","大麻","A","第26題答Ａ或Ｃ或ＡＣ者均給分",[],"本題考點為古柯鹼（cocaine）長期使用的特徵性併發症。依其藥理與使用途徑，鼻吸造成鼻黏膜血管強烈收縮缺血，長期導致鼻中膈穿孔；吸食致肺損傷；靜脈注射則有感染疾病風險，題述三特徵指向古柯鹼，故正解為 A。B 錯在安非他命雖亦為興奮劑，但鼻中膈穿孔是古柯鹼鼻吸的經典特徵。C 錯在 K 他命主要造成膀胱病變與解離作用，非鼻中膈穿孔。D 錯在大麻多為吸食，主要影響為呼吸道刺激與認知，無鼻中膈穿孔此表現。","古柯鹼是強效局部血管收縮劑，鼻吸使鼻中膈黏膜反覆缺血壞死→穿孔，為其標誌性理學表現。此外古柯鹼可致心肌梗塞、心律不整、癲癇、精神病症狀。記憶對比：古柯鹼→鼻中膈穿孔；K 他命→膀胱炎（頻尿、血尿）；安非他命→拔毛、磨牙、擬妄想型精神病；吸入劑→鼻周皮疹。使用途徑決定併發症：鼻吸傷鼻中膈、吸食傷肺、注射傳染疾病，三管齊下正指向古柯鹼。",[24,27,29,31],{"term":25,"count":26},"古柯鹼(cocaine)",1,{"term":28,"count":26},"鼻中膈穿孔",{"term":30,"count":26},"血管收縮作用",{"term":32,"count":26},"物質濫用併發症",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-027","有關強迫症之敘述，下列何者最正確？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-043","有關社區夥伴關係之敘述，下列何者錯誤？",43,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-057","社區護理師希望知道社區的權力分配、溝通方式、問題解決辦法、決策過程等資訊，較適當的評估方法為何？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-015","對憂鬱症的敘述，下列何者正確？",15,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-059","下列何者是目前健康體適能的測量指標？",59,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-1-psychiatric-community-013","有關行為治療的運用，下列何者最適宜？",13,112,"2026-09-04",1788510700105]