[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-077","nurse-107-2-medical-surgical-077",107,2,77,"有關有機磷中毒臨床處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"維持呼吸道通暢，必要時給與插管","morphine 是有機磷中毒的拮抗劑","協助除去被污染的衣物並協助沐浴及洗頭髮","照護此類病人需做好防護設施，戴口罩、手套及穿隔離衣","B",null,[],"本題考點在有機磷中毒的處置原則。依藥理,有機磷抑制乙醯膽鹼酯酶,造成乙醯膽鹼堆積的膽鹼激性危象,解毒劑為 atropine(拮抗蕈毒鹼作用)與 pralidoxime(PAM,回復酵素活性),morphine 並非拮抗劑;且 morphine 會抑制呼吸,對已有呼吸道分泌物與呼吸抑制的中毒者更危險,故錯誤者選 B。選項 A 正確,須維持呼吸道通暢、必要時插管;選項 C 正確,除去污染衣物並沐浴洗頭可減少經皮膚持續吸收;選項 D 正確,照護者須戴口罩手套穿隔離衣以防自身接觸中毒。","有機磷經皮膚、吸入或食入吸收,抑制乙醯膽鹼酯酶使 ACh 堆積,產生蕈毒鹼症狀(口訣 DUMBELS:流涎、流淚、排尿、腹瀉、腸胃不適、嘔吐、流汗、支氣管分泌)與菸鹼症狀(肌肉顫動、無力)。解毒:atropine 對抗蕈毒鹼、PAM 使酵素再活化。morphine、succinylcholine 及茶鹼類應避免。口訣:阿托品加解磷定才是解毒,嗎啡是禁忌。",[24,27,30,33],{"term":25,"count":26},"有機磷中毒",6,{"term":28,"count":29},"乙醯膽鹼酯酶抑制",4,{"term":31,"count":32},"atropine 與 pralidoxime 解毒",1,{"term":34,"count":32},"去污與防護",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-medical-surgical-078","有關敗血症治療之敘述，下列何者錯誤？",78,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,108,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-109-1-medical-surgical-028","下列何項檢查無法評估心輸出量？",28,109,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-110-1-medical-surgical-066","有關接受經尿道前列腺切除術病人之護理指導，下列何者錯誤？",66,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-medical-surgical-030","有關心包填塞（cardiac tamponade）症狀的敘述，下列何者錯誤？",30,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-medical-surgical-064","下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",64,112,"2026-09-04",1788510725580]