[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-109-1-基本護理學與護理行政-055","nurse-109-1-fundamental-nursing-055",109,1,55,"王太太，因癌症 10 天前接受化學治療，口腔內雙頰與上顎出現白斑與破損，且口腔疼痛不敢進食，下列措施何者最適合王太太？",{"A":15,"B":16,"C":17,"D":18},"依醫囑給予 xylocaine solution 漱口","暫時避免清洗口腔以減輕疼痛","協助使用 1% H 2 O 2 溶液去除白斑","教導使用牙線正確清潔口腔","A",null,[],"本題考點為化學治療引起口腔黏膜炎的照護。化療抑制快速分裂的黏膜細胞，造成口腔潰瘍與疼痛，依醫囑給予xylocaine（局部麻醉劑）漱口可緩解疼痛以利進食，故A正確。B暫停清潔口腔錯誤，口腔仍須以軟毛牙刷或棉棒、生理食鹽水溫和清潔以防感染。C以1% H₂O₂去除白斑錯誤，過氧化氫刺激且會破壞新生肉芽組織、延遲癒合，白斑可能為念珠菌感染而需抗黴菌，非強行刮除。D教導使用牙線錯誤，黏膜已破損疼痛，牙線會造成出血與更多損傷。","化療或放療黏膜炎（mucositis）因基底層幹細胞受損，好發於治療後7至14天。照護以生理食鹽水或碳酸氫鈉漱口、局部麻醉藥止痛、避免酒精性漱口水與過氧化氫、軟質溫涼飲食為主。口腔白斑合併免疫低下常為念珠菌（鵝口瘡），需nystatin等抗黴菌藥。維持口腔清潔而非停止清潔是關鍵。",[25,28,30,32],{"term":26,"count":27},"口腔黏膜炎",2,{"term":29,"count":11},"局部麻醉漱口",{"term":31,"count":11},"化療黏膜毒性",{"term":33,"count":11},"口腔念珠菌",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-1-fundamental-nursing-056","有關體溫變化的敘述，下列何者錯誤？",56,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-109-2-fundamental-nursing-072","根據 Douglass（1988）衝突解決模式，當衝突發生時，解決衝突的步驟中下列何者為最優先？",72,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-110-2-fundamental-nursing-006","游奶奶接受雙側膝關節置換術，術後第一天使用自控式嗎啡疼痛控制器止痛，白班護生王同學照顧游奶奶，9:40 am 尚未備口服藥物，實習指導老師詢問下，王同學表示：「奶奶還在睡覺，剛剛測量的生命徵象 BP 為 122∕64 mmHg、TPR：36.4°C、64 次／分、8 次／分，我想奶奶昨天開刀應該讓她休息一下，我不忍心叫她起床吃藥」，針對上述情境，下列處置何者最適當？",6,110,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-2-fundamental-nursing-044","有關體脂肪的敘述，下列何者錯誤？",44,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-fundamental-nursing-008","病人下肢水腫 2+，醫囑「Lasix ® 20 mg\u002Ftab 1 # P.O. PC QD」，下列措施何者不適當？",8,112,3,{"webId":60,"stem":61,"number":27,"year":62,"session":11},"nurse-114-1-fundamental-nursing-002","有關內科無菌技術的敘述，下列何者正確？",114,"2026-09-04",1788510712113]