[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-108-1-內外科護理學-052","nurse-108-1-medical-surgical-052",108,1,52,"肺結核病人若無法遵從醫師所開立的醫囑規則服藥時之護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"請照顧者監督病人定時服藥","請病人每週回診，並詢問是否規則服藥","告訴醫師病人未能遵從規則服藥，是否使用其他治療方式","跟病人強調若不規則服藥，肺結核可能導致死亡","A",null,[],"本題考點在於肺結核病人服藥順從性不佳時的最佳護理措施。依世界衛生組織的直接觀察治療（DOTS）原則，確保規則完整服藥最有效的方式是由專人（照顧者或關懷員）親眼監督病人服下每一劑藥，故選 A。（B）錯在僅每週回診詢問屬自述、無法確認實際服藥，順從性仍難保證。（C）錯在病人問題是「無法規則服藥」而非藥物不適合，貿然改治療方式並未解決根本順從性問題，且可能延誤標準療程。（D）錯在以死亡恐嚇威脅屬不當溝通，易破壞護病關係且無實質監督效果。","DOTS（Directly Observed Treatment, Short-course）是結核防治核心，藉直接監督服藥防止中斷與抗藥性結核（MDR-TB）產生。結核標準療程長達六個月，中途自行停藥是抗藥性最大成因，故「監督」比「衛教恐嚇」更能保證療效。台灣採都治關懷員送藥到點親眼看服。記憶口訣：「看你吞下去，才算真服藥」。連結概念：抗藥性結核 MDR-TB、六個月標準療程、關懷員都治、順從性。",[24,26,28,30,32],{"term":25,"count":10},"直接觀察治療 DOTS",{"term":27,"count":10},"服藥順從性",{"term":29,"count":10},"抗藥性結核預防",{"term":31,"count":10},"都治關懷員",{"term":33,"count":10},"監督服藥",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-medical-surgical-053","有關連枷胸的敘述，下列何者正確？",53,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-medical-surgical-069","有關甲狀腺切除後病人的護理措施，下列何者正確？①注意有無聲音嘶啞 ②禁止深呼吸、咳嗽運動 ③喝溫開水減輕傷口不適 ④觀察口部刺麻感",69,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-109-2-medical-surgical-003","有關慢性硬膜下出血（chronic subdural hematoma；chronic SDH）之敘述，下列何者正確？",3,109,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-110-2-medical-surgical-041","有關頭頸部放射線治療的敘述，下列何者錯誤？",41,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",5,112,{"webId":60,"stem":61,"number":62,"year":58,"session":47},"nurse-112-3-medical-surgical-039","慢性腎臟病第四期病人解血尿懷疑是腎臟結石，下列診斷檢查何者最適當？",39,"2026-09-04",1788510709976]