[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-內外科護理學-018","nurse-108-2-medical-surgical-018",108,2,18,"有關中耳手術後病人護理措施及指導之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"觀察是否發生顏面神經切斷的合併症","咳嗽或打噴嚏時避免張口","避免頭部突然轉動","採軟質飲食","B",null,[],"本題考點是中耳手術後的護理指導，題目要選「錯誤」者。依術後避免中耳壓力驟變的原則，咳嗽或打噴嚏時應「張口」以分散並降低中耳與傷口的壓力衝擊，避免移植物移位，故「避免張口」的敘述錯誤，選 B。選項 A 觀察顏面神經受損合併症正確，因顏面神經行經中耳附近，手術可能傷及；選項 C 避免頭部突然轉動正確，以防眩暈與影響癒合；選項 D 採軟質飲食正確，減少咀嚼牽動患側。考點在於辨識打噴嚏應張口而非閉口以洩壓的要點。","中耳手術（如鼓室成形術、聽小骨重建）後護理重點在避免中耳壓力波動導致移植物或聽小骨移位：打噴嚏、咳嗽時『張口』讓壓力經口腔宣洩、勿捏鼻閉口用力（會經耳咽管把壓力灌進中耳）、勿用力擤鼻、避免提重與彎腰、預防便秘減少腹壓。顏面神經（第七對腦神經）鄰近手術區，需觀察有無臉部不對稱、閉眼困難等損傷徵象。記憶口訣：打噴嚏『張嘴洩壓』，別捏鼻憋氣。可連結耳咽管（Eustachian tube）平衡中耳壓力的解剖生理與眩暈防護。",[24,26,28,31],{"term":25,"count":10},"中耳手術後護理",{"term":27,"count":10},"顏面神經合併症",{"term":29,"count":30},"打噴嚏張口洩壓",1,{"term":32,"count":30},"耳咽管中耳壓力",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-019","有關白內障治療方式之敘述，下列何者錯誤？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-109-1-medical-surgical-035","當癌症病人出現下列何種血液檢驗數據時，要考慮停止化學治療？①白血球 1,500\u002FμL ②紅血球 500 萬\u002FμL ③血小板 11 萬\u002FμL ④絕對嗜中性球 1,000\u002FμL",35,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-049","有關照護愛滋病人防護措施之敘述，下列何者正確？",49,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-111-1-medical-surgical-007","有關腦波檢查的護理措施，下列何者錯誤？",7,111,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-112-1-medical-surgical-051","協助醫師拔除胸管時，應指導病人採取下列何種呼吸方式？",51,112,{"webId":58,"stem":59,"number":41,"year":60,"session":30},"nurse-113-1-medical-surgical-035","有關肺炎鏈球菌肺炎病人之臨床表徵，下列敘述何者最不適當？",113,"2026-09-04",1788510706328]