[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-107-1-內外科護理學-034","nurse-107-1-medical-surgical-034",107,1,34,"有關化學藥物發生滲漏之處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"迅速停止化學藥物注射，且拔除針頭","由原針頭處回抽，以除去殘留藥液","依醫囑以 18 號針頭注射解毒劑","Vincristine 滲漏時，應冰敷外滲部位","B",null,[],"本題考點在化學治療藥物外滲（extravasation）的緊急處置順序。依外滲處理原則，發現後應先停止注射但「暫不拔針」，改由原留置的針頭回抽以移除殘留藥液，減少組織壞死範圍，選 B。A 錯在不應立即拔針，拔針後便無法回抽殘藥。C 錯在解毒劑是經原有管路給予，並非另以 18 號大針重新穿刺注射。D 錯在 Vincristine（長春花生物鹼類）外滲應「熱敷」並配合玻尿酸酶以促進藥物擴散吸收；冰敷（冷敷）適用於小紅莓類（anthracycline）而非長春花類。","外滲處置流程：停止推注→保留針頭回抽殘藥→依藥物給對應解毒劑→拔針→抬高患肢→冷或熱敷。冷熱敷選擇是常考陷阱：小紅莓類（doxorubicin）用冷敷使血管收縮、局限藥物；長春花類（vincristine、vinblastine）反而用熱敷加玻尿酸酶促進分散。記法「紅（莓）冷、花（vinca）熱」。發泡性藥物（vesicant）外滲可致深部潰瘍，需標記範圍、拍照追蹤並照會，屬給藥安全重點。",[24,26,28,30,32],{"term":25,"count":10},"化療藥物外滲 extravasation",{"term":27,"count":10},"回抽殘留藥液",{"term":29,"count":10},"Vincristine 熱敷",{"term":31,"count":10},"發泡性藥物 vesicant",{"term":33,"count":10},"冷熱敷選擇原則",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-035","有關保護性隔離之敘述，下列何者正確？",35,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-051","一位 23 歲女性主訴最近食慾不振、疲倦、發燒及體重減輕，經身體評估發現口腔潰瘍、左右膝關節有壓痛、腫脹，另抗核性抗體（ANA）呈現陽性，下列何者為其最可能之診斷？",51,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-065","有關急性腎絲球腎炎（AGN）急性期之護理指導，下列何者正確？①多下床活動以避免下肢水腫 ②採高碳水化合物、低蛋白飲食 ③預防感染措施 ④鼓勵多喝水",65,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-023","有關鼻竇炎術後的護理措施，下列何者錯誤？",23,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-067","有關腎移植後的急性排斥徵候，不包括下列何者？",67,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-021","白內障可能出現的症狀，下列何者正確？① 眼睛痛 ②眼睛紅 ③視力模糊 ④瞳孔變灰或白色",21,112,"2026-09-04",1788510702736]