[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-038":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-108-2-內外科護理學-038","nurse-108-2-medical-surgical-038",108,2,38,"下列何者屬於發疱劑（vesicant agent）的化學治療製劑？",{"A":14,"B":15,"C":16,"D":17},"ara-C","bleomycin","endoxan","oncovin","D",null,[],"本題考點是化學治療製劑中屬於發疱劑(vesicant)者的辨識。依藥物外滲毒性分類,發疱劑外滲會造成組織壞死與潰瘍,oncovin(vincristine,長春新鹼)屬典型植物鹼類發疱劑,故選 D。A ara-C(cytarabine)一般歸為非發疱性或刺激性,外滲毒性較低。B bleomycin 屬非發疱劑。C endoxan(cyclophosphamide)一般為非發疱劑或輕度刺激劑。考點在於記憶長春花鹼類與蒽環類為主要發疱劑,給藥時須確保靜脈通暢以防外滲壞死。","分類記憶:發疱劑(vesicant)代表——長春花鹼類(vincristine、vinblastine)、蒽環類(doxorubicin)。此類外滲可致嚴重組織壞死,宜由中心靜脈給藥、給藥中密切觀察注射部位;一旦外滲立即停止輸注、依藥物選用對應處置。相對地刺激劑(irritant)僅引起局部發炎。可連結:化療藥外滲、發疱劑 vs 刺激劑、中心靜脈導管、長春花鹼類、蒽環類心毒性。",[24,27,29,31],{"term":25,"count":26},"發疱劑 vesicant",1,{"term":28,"count":26},"vincristine 長春新鹼",{"term":30,"count":26},"化療藥外滲",{"term":32,"count":26},"組織壞死",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-039","B 型肝炎帶原者接受化學治療時之護理指導，下列何者錯誤？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"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":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-069","下列何種荷爾蒙分泌不足會導致黏液性水腫（myxedema）？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-medical-surgical-027","王先生經醫生診斷為柏格氏病（Buerger’s Disease），下列敘述何者正確？",27,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-medical-surgical-071","承上題，陳小姐近期藥物治療反應不佳而入院接受甲狀腺切除術，有關甲狀腺切除手術，下列何者正確？①為維持正常的甲狀腺功能，一般採用次全甲狀腺切除 ②出血、聲門水腫、急性呼吸道阻塞為常見的術後合併症 ③術後聲音沙啞是因雙側喉返神經受傷所致 ④術後需評估病人有無肌肉抽搐之甲狀腺功能低下表徵",71,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-medical-surgical-005","20 歲男性，清晨騎乘重機外出不小心與大卡車擦撞滑倒顳側先著地，送醫時 GCS E4V5M6，為安全起見留院觀察，2 小時後病人突然喪失意識，診斷為硬膜上出血，下列敘述何者錯誤？",5,113,"2026-09-04",1788510706499]