[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-044":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-044","nurse-107-1-medical-surgical-044",107,1,44,"王先生 25 歲燒傷入院，全身有 20%的部分皮層燒傷，燒傷部位位於雙下肢，其燒傷嚴重度，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"輕度燒傷","中度燒傷","嚴重燒傷","大面積燒傷","B",null,[],"本題考點在燒傷嚴重度分級。依美國燒傷協會的成人分級標準，部分皮層（second degree）燒傷面積在 15～25% 者屬「中度燒傷」，本例 25 歲、20% 部分皮層、位於雙下肢，落在中度範圍，故選 B。A 輕度燒傷指成人部分皮層小於 15%，本例已超過。C 嚴重（大）燒傷指成人部分皮層超過 25%、或全皮層超過 10%、或涉及顏面、手、足、會陰、關節及吸入性損傷等，本例未達。D「大面積燒傷」非標準三級分類用詞，且本例面積未達嚴重標準。","燒傷面積可用「九則法」估算：成人頭 9%、每上肢 9%、軀幹前後各 18%、每下肢 18%、會陰 1%；雙下肢即約 36%，本題 20% 為其部分區域。嚴重度綜合面積、深度、部位、年齡與合併吸入傷判定。體液復甦以 Parkland 公式（4 mL × 體重kg × %TBSA，前 8 小時給一半）依「部分皮層以上」面積計算。特殊部位（顏面、關節、會陰）即使面積不大也升級為嚴重，因功能與感染風險高。",[24,26,28,30,32],{"term":25,"count":10},"燒傷嚴重度分級",{"term":27,"count":10},"部分皮層燒傷",{"term":29,"count":10},"中度燒傷 15–25%",{"term":31,"count":10},"九則法面積估算",{"term":33,"count":10},"美國燒傷協會標準",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-045","有關燒傷病人植皮前後之護理措施，下列何者錯誤？",45,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-061","有關鹿角結石之敘述，下列何者錯誤？",61,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-075","依據吳先生目前的生理狀態，下列何者正確？",75,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-033","有關病人心電圖 VT 之相關處置，下列何者正確？",33,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-077","何處骨折最適合使用八字繃帶法進行固定？",77,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-031","靜脈注射不當造成血管紅、腫、痛是屬於下列何種血管問題？",31,112,"2026-09-04",1788510702854]