[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-108-1-內外科護理學-024","nurse-108-1-medical-surgical-024",108,1,24,"有關喉癌手術後發聲及吞嚥功能改變之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"聲門上喉切除術後 2 週內可能會出現吞嚥困難","聲門上喉切除術後無法發聲","部分喉切除術保留一側聲帶，術後可能聲音沙啞","部分喉切除術後可以正常吞嚥","B",null,[],"本題考點為喉癌術式與發聲吞嚥功能的關係，屬選錯誤題。依解剖，聲門上喉切除術切除聲帶上方構造而保留真聲帶，故術後仍能發聲，僅早期因會厭受影響而暫時吞嚥困難，因此「無法發聲」的敘述錯誤，選B。A術後2週內吞嚥困難，正確；C部分喉切除保留一側聲帶術後聲音沙啞，正確；D部分喉切除術後多可恢復正常吞嚥，正確。唯全喉切除才會完全喪失自然發聲。","喉切除術記憶軸：全喉切除＝失去自然發聲（需食道語、電子喉或氣管食道發聲）＋永久氣管造口；聲門上切除＝保留聲帶「能講話」，但誤吸風險高、早期吞嚥困難；部分或半喉切除＝保留部分聲帶，聲音沙啞但可發聲吞嚥。以「聲帶有無保留」判斷能否發聲最快。",[24,27,29,31],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":10},"喉癌手術",{"term":30,"count":10},"聲門上喉切除術",{"term":32,"count":10},"發聲功能",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-025","下列何者是 Heparin 之解毒劑？",25,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-medical-surgical-041","有關燒傷病人給與靜脈滴注「H 2 受體阻斷劑」類藥物（如 tagamet）之目的，下列何者正確？",41,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-medical-surgical-055","病人肺部手術後出現呼吸速率加快、粉紅色泡沫狀痰液、持續性咳嗽、呼吸困難和囉音等表徵，最有可能的合併症是下列何者？",55,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-medical-surgical-013","有關上腸胃道攝影的敘述，下列何者正確？①檢查前無需禁食 ②檢查前需清潔灌腸 ③檢查後多喝開水以促使鋇劑排出 ④檢查後 2～3 天可能解白色糞便，為正常反應",13,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-medical-surgical-057","李先生為氣喘病人，目前使用 Aminophylline 靜脈輸注溶液，護理師得知李先生血清中的 Theophylline 濃度為 12 μg\u002FmL，此時最適當的護理措施為何？",57,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-medical-surgical-011","有關急性胰臟炎的處置，下列敘述何者最不適當？",11,112,3,"2026-09-04",1788510709693]