[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-069","nurse-108-2-medical-surgical-069",108,2,69,"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",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點為甲狀腺切除術後的護理措施辨識，正解為①④，選 B。①注意有無聲音嘶啞正確，因手術可能傷及喉返神經導致聲帶麻痺與聲音改變，須術後評估發聲。④觀察口部刺麻感正確，因可能誤傷或切除副甲狀腺致低血鈣，出現口周及肢端刺麻、抽搐(Chvostek、Trousseau 徵象)。②禁止深呼吸、咳嗽錯誤，術後仍應鼓勵深呼吸與有效咳嗽以清除分泌物、預防肺部併發症，僅需支托傷口。③喝溫開水此敘述不列入正解，術後初期常建議給冰涼流質以減少局部充血與不適，並非以溫開水為原則。故涵蓋①④的 B 為正確組合。","甲狀腺術後兩大警訊：喉返神經損傷(聲音嘶啞、失聲、呼吸道阻塞)與副甲狀腺受損致低血鈣(手足抽搐、喉痙攣、Chvostek\u002FTrousseau 陽性)，床邊備氣切包與鈣劑。另須警覺出血與甲狀腺風暴。半坐臥、支托頸部、觀察傷口與呼吸。冰涼飲食減充血。記憶「聲音+抽麻」是必考監測點。",[24,27,29,31,33],{"term":25,"count":26},"甲狀腺切除術後護理",1,{"term":28,"count":26},"喉返神經損傷",{"term":30,"count":26},"低血鈣口周刺麻",{"term":32,"count":26},"副甲狀腺受損",{"term":34,"count":26},"術後深呼吸咳嗽",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-medical-surgical-070","長期口服或注射類固醇病人最可能出現的副作用，下列何者正確？",70,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-2-medical-surgical-006","腦中風病人使用 Aspirin 100 mg 1# P. O. Q. D.治療的目的，下列何者正確？",6,109,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-110-1-medical-surgical-020","下列何者為骨髓炎病人的常見用藥？",20,110,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-111-1-medical-surgical-058","肺炎發生時，於肺實質所產生的病生理變化，不包括下列何者？",58,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-022","有關鼻咽癌病人接受放射線治療之護理指導，下列何者錯誤？",22,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-036","有關急性呼吸窘迫症候群（ARDS）病人使用機械性通氣時，配合使用呼氣末端正壓（PEEP）之目的，下列何者錯誤？",36,113,"2026-09-04",1788510706771]