[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-109-1-內外科護理學-024","nurse-109-1-medical-surgical-024",109,1,24,"有關喉癌病人接受全喉切除術後之護理處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"維持呼吸道通暢為首要目標","協助採取側臥式","當病人坐起時需以手支托後頸","傷口癒合前須由鼻胃管補充營養","B",null,[],"本題考點在於全喉切除術後的姿勢與呼吸道照護，屬選錯誤題。選項B「協助採側臥式」為錯誤，全喉切除病人術後首要維持呼吸道通暢，應採半坐臥（Fowler's position）以促進呼吸並減輕喉部與傷口張力，側臥並非首選，故應選B。選項A維持呼吸道通暢為首要目標，正確；選項C病人坐起時以手支托後頸可減少頸部傷口張力，保護縫合處，正確；選項D傷口癒合前因吞嚥功能受影響，須以鼻胃管補充營養以免污染傷口，正確。故側臥的姿勢敘述不當。","全喉切除後病人以永久性氣管造口呼吸，鼻與口不再與氣道相通，故照護重點在造口通暢、濕化與防吸入。半坐臥利於呼吸與引流，並降低吻合處張力。支托後頸避免頸部過度屈伸拉扯縫線。長期須做食道語或電子喉重建溝通方式。此題以「側臥」誤導，凸顯半坐臥維持呼吸道的原則。",[24,27,29,31],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":10},"半坐臥維持呼吸道",{"term":30,"count":10},"氣管造口照護",{"term":32,"count":10},"支托後頸減張力",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-025","一位 26 歲新婚女性，有計畫懷孕，近日因心臟不適，經醫師診斷二尖瓣狹窄，並建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用之敘述，下列何者最適當？",25,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-medical-surgical-041","胃癌的發生可能與下列何種病毒或細菌感染有關？",41,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-055","下列何者不是闌尾炎的徵象？",55,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-medical-surgical-013","有關胃食道逆流的敘述，下列何者正確？",13,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-medical-surgical-057","有關單側自發性氣胸病人之身體檢查評估結果，下列何者錯誤？",57,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-medical-surgical-021","有關化學藥品 vincristine（Oncovin ® ）輸注之藥物準備過程，下列何者不適當？",21,113,3,"2026-09-04",1788510712533]