[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-043":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":25},"nurse-108-2-內外科護理學-043","nurse-108-2-medical-surgical-043",108,2,43,"王先生從火災現場被救出，評估發現其鼻毛燒焦、聲音嘶啞、喘鳴聲、碳粒痰、呼吸有燒焦味，下列何者為王先生最可能的診斷？",{"A":14,"B":15,"C":16,"D":17},"一氧化碳中毒","電燒傷","吸入性灼傷","化學性灼傷","C",null,[],"本題考點是火場救出病人的吸入性灼傷辨識。依臨床評估,鼻毛燒焦、聲音嘶啞、喘鳴聲、碳粒痰(含碳顆粒的痰)、呼吸帶燒焦味,均是上呼吸道與氣道受熱與煙燻損傷的直接證據,故最可能診斷為吸入性灼傷,選 C。A 一氧化碳中毒以頭痛、意識改變、櫻桃紅為主,題幹未描述且不能解釋碳粒痰與鼻毛燒焦。B 電燒傷有電流進出傷口,與煙燻氣道表現不符。D 化學性灼傷來自化學物質接觸,非火場煙燻的典型徵象。考點在於辨識氣道熱煙損傷的關鍵徵象組合。","吸入性灼傷警訊:顏面燒傷、鼻毛燒焦、口鼻煤灰、碳粒痰、聲音嘶啞、喘鳴、燒焦味氣息、密閉空間受困史。氣道黏膜水腫可在數小時內迅速惡化致阻塞,是燒傷早期呼吸道處置的重點,常需儘早保護氣道。一氧化碳與氰化物中毒常合併存在。可連結:吸入性損傷、氣道水腫、一氧化碳中毒、密閉空間燒傷、呼吸道評估。",[24,26,29,31],{"term":16,"count":25},3,{"term":27,"count":28},"碳粒痰與鼻毛燒焦",1,{"term":30,"count":28},"氣道熱煙損傷",{"term":32,"count":28},"喘鳴與聲音嘶啞",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-044","有關焦痂切開術的敘述，下列何者正確？",44,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-medical-surgical-060","血液透析病人之液體攝取量的估計原則，下列何者最適當？",60,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-074","有關糖尿病酮酸中毒（DKA）病人之檢驗結果，下列何者正確？①動脈血氧分析 pH 7.2 ②動脈血氧分析 pH 7.5 ③血中碳酸根離子濃度 14 mEq\u002FL ④血中碳酸根離子濃度 25 mEq\u002FL ⑤血清滲透壓>320 mOsm\u002Fkg ⑥血清滲透壓\u003C320 mOsm\u002Fkg",74,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-medical-surgical-032","下列血流動力學檢查結果何者正常？",32,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-medical-surgical-076","有關施行心肺復甦術（CPR）成功徵象的敘述，下列何者正確？①四肢有動作反應 ②有自發性呼吸 ③刺激眼瞼會眨眼 ④瞳孔對光反射固定",76,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-medical-surgical-010","預防全胃切除病人發生惡性貧血，可補充下列何種維生素？",10,113,"2026-09-04",1788510706543]