[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-041":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-041","nurse-108-2-medical-surgical-041",108,2,41,"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？",{"A":14,"B":15,"C":16,"D":17},"刺激腸蠕動","預防低血容積","預防壓力性潰瘍","預防腎損傷","C",null,[],"本題考點是燒傷病人給予 H₂ 受體阻斷劑(如 tagamet\u002Fcimetidine)的目的。依燒傷病生理,大面積燒傷造成的生理壓力會使胃酸分泌增加、胃黏膜缺血,易形成壓力性潰瘍(即 Curling's ulcer);H₂ 受體阻斷劑抑制胃酸分泌,可預防此類壓力性潰瘍與消化道出血,故選 C。A 刺激腸蠕動非其作用,H₂ 阻斷劑作用在胃酸而非腸道蠕動。B 預防低血容靠輸液復甦而非制酸劑。D 預防腎損傷靠維持灌流與尿量,與制酸無關。考點在於連結壓力性潰瘍成因與制酸藥的預防目的。","燒傷相關的壓力性潰瘍稱 Curling's ulcer(顱腦損傷者則為 Cushing's ulcer)。機轉為壓力下交感興奮、內臟血流減少致黏膜缺血,加上胃酸侵蝕。預防用 H₂ 阻斷劑或質子幫浦抑制劑,並儘早腸道營養以維護黏膜屏障。可連結:Curling's ulcer、胃酸分泌、質子幫浦抑制劑、壓力性黏膜病變、腸道營養。",[24,27,29,31],{"term":25,"count":26},"H2 受體阻斷劑",1,{"term":28,"count":26},"壓力性潰瘍 Curling's ulcer",{"term":30,"count":26},"燒傷胃黏膜缺血",{"term":32,"count":26},"胃酸抑制",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-042","有關燒傷水療法之敘述，下列何者錯誤？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-medical-surgical-058","承上題，下列何項處置可以最有效的改善王先生酸鹼不平衡之問題？",58,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-072","有關糖尿病的敘述，下列何者正確？",72,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-medical-surgical-030","有關心因性休克之敘述，下列何者錯誤？",30,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-medical-surgical-074","下列何種情況可能會導致特魯索氏（Trousseau）與沃斯德克氏（Chvostek）徵象皆呈陽性反應？①低血鈣 ②低血鉀 ③低血糖 ④副甲狀腺功能低下症",74,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-medical-surgical-008","有關全腸道外營養療法（TPN）常見的併發症，下列何者錯誤？",8,113,"2026-09-04",1788510706530]