[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-034":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":26},"nurse-107-2-內外科護理學-034","nurse-107-2-medical-surgical-034",107,2,34,"有氣喘病史的高血壓病人應避免使用下列何類藥物，以預防病人支氣管痙攣導致氣喘發作？",{"A":14,"B":15,"C":16,"D":17},"亨利氏環利尿劑","α型阻斷劑","β型阻斷劑","鈣離子拮抗劑","C",null,[],"本題考點是β阻斷劑對氣喘病人的禁忌。非選擇性β阻斷劑會阻斷支氣管平滑肌的β₂受體,導致支氣管收縮痙攣、誘發氣喘發作,故有氣喘病史的高血壓病人應避免,選 C。(A)亨利氏環利尿劑作用於腎臟利尿降壓,不影響支氣管;(B)α型阻斷劑擴張血管降壓,無支氣管收縮之虞;(D)鈣離子拮抗劑鬆弛血管平滑肌,部分甚至有支氣管舒張作用,對氣喘相對安全。","β受體分布:β₁在心臟(增心率與心收縮)、β₂在支氣管與血管(舒張)。非選擇性β阻斷劑(propranolol)同時擋 β₂ 造成支氣管收縮,氣喘禁用;選擇性β₁阻斷劑(atenolol、metoprolol)相對安全但高劑量仍失去選擇性。氣喘病人降壓首選鈣拮抗劑或 ACE 抑制劑與 ARB。",[24,27,29,31],{"term":25,"count":26},"支氣管痙攣",3,{"term":16,"count":28},1,{"term":30,"count":28},"β2受體",{"term":32,"count":28},"氣喘禁忌",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-035","有關深部血栓靜脈炎病人之護理措施，下列何者不適當？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-medical-surgical-051","有關膿胸病變發生之部位，下列何者正確？",51,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-065","蔡先生主訴噁心、食慾不振，昨日嘔吐量約 150 c.c.\u002F天，排尿量 360 c.c.\u002F天，血清鉀 6.8 mEq\u002FL，下列處置何者錯誤？",65,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-110-1-medical-surgical-023","關於糖尿病性酮酸中毒（DKA）的敘述，下列何者正確？",23,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-medical-surgical-067","有關慢性腎衰竭的典型臨床表徵，下列何者錯誤？",67,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-021","有關急性鼻竇炎的處置，下列何者錯誤？",21,112,"2026-09-04",1788510725202]