[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-036":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-036","nurse-107-1-medical-surgical-036",107,1,36,"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",{"A":14,"B":15,"C":16,"D":17},"①③⑥","①④⑤","②③⑤","②④⑥","A",null,[],"本題考點在世界衛生組織癌症疼痛三階梯給藥原則。依該原則，止痛應①定時給藥（by the clock）維持血中濃度、③口服優先（by mouth）方便且穩定、並⑥由非麻醉性製劑（如 NSAID、acetaminophen）開始逐階往上，故選 A（①③⑥）。②需要時（PRN）給藥錯誤，會造成疼痛起伏與谷底疼痛。④先考慮靜脈注射錯誤，給藥途徑應以口服優先，非侵入途徑保留給無法口服者。⑤優先考慮低效性麻醉劑錯誤，第一階應先用非麻醉性藥而非直接跳到麻醉性製劑。","WHO 三階梯：第一階非鴉片類（±輔助藥）；第二階弱效鴉片（codeine、tramadol）；第三階強效鴉片（morphine）。五大用藥原則口訣「定時、口服、階梯、個別化、注意細節」（by the clock, by mouth, by the ladder, for the individual, attention to detail）。定時給藥的核心是維持穩定血中濃度、避免疼痛復燃，另備突發痛（breakthrough pain）的救援劑量。輔助藥（抗癲癇、抗憂鬱、類固醇）可用於神經病理性疼痛，各階皆可加。",[24,26,28,30,32],{"term":25,"count":10},"WHO 癌症疼痛三階梯",{"term":27,"count":10},"定時給藥 by the clock",{"term":29,"count":10},"口服優先 by mouth",{"term":31,"count":10},"非鴉片類製劑起始",{"term":33,"count":10},"疼痛階梯個別化",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-037","有關乳癌手術後復健運動之敘述，下列何者正確？",37,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-053","一位肺氣腫病人突然覺得呼吸短促，醫生診斷為自發性氣胸，下列何者是造成此情形最可能的原因？",53,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-067","有關甲狀腺機能低下病人的臨床表徵，下列何者正確？",67,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-025","有關白內障之敘述，下列何者錯誤？",25,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-069","有關甲狀腺素製劑使用原則與注意事項，下列何者錯誤？",69,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-023","有關鼻部手術後的護理指導，下列何者最不適宜？",23,112,"2026-09-04",1788510702767]