[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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":10},"nurse-109-1-內外科護理學-036","nurse-109-1-medical-surgical-036",109,1,36,"有關靜脈導管 Port-A 之敘述，下列何者正確？①放置 Port-A 人工血管，須採全身麻醉方式 ②Port-A 導管可由腋靜脈放置到鎖骨下靜脈 ③注射起泡性藥物時，應測試是否有回血 ④注射藥物時，使用一般空針 90 度插入，以免發生外滲",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","C",null,[],"本題考點在於植入式人工血管（Port-A）的正確使用。②Port-A導管由腋靜脈或鎖骨下靜脈置入、導管尖端到上腔靜脈，路徑敘述合理正確；③注射起泡性（vesicant）藥物前應確認回血以證實導管在血管內、避免藥物外滲造成組織壞死，正確，兩者組合為②③選C。①錯在Port-A置放採局部麻醉即可，無須全身麻醉；④錯在注射須使用專用的無損傷針（non-coring\u002FHuber針）以90度插入，若用一般空針斜面針頭會削損矽膠隔膜致滲漏，故「一般空針」敘述錯誤。故正確組合為②③。","Port-A由注射座與導管組成，皮下植入供長期化療或營養輸注。使用專用Huber針（針尖側孔、不切削隔膜）延長注射座壽命。給藥流程：消毒、插針、抽回血確認位置、以生理食鹽水沖洗、給藥後以肝素或食鹽水正壓封管防血栓。起泡性藥物外滲會致嚴重組織壞死，故確認回血是安全關鍵。",[24,26,28,30],{"term":25,"count":10},"Port-A人工血管",{"term":27,"count":10},"Huber無損傷針",{"term":29,"count":10},"回血確認防外滲",{"term":31,"count":10},"鎖骨下靜脈置入",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-037","有關癌症病人血鈣之敘述，下列何者錯誤？",37,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-053","有關張力性氣胸（tension pneumothorax）的臨床表徵，下列何者正確？",53,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-067","有關良性前列腺肥大的合併症，下列何者錯誤？",67,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-025","有關扁桃腺炎的處置，下列何者錯誤？",25,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-069","有關愛迪生氏危機病人的護理措施，下列何者錯誤？",69,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-033","有關病人的動脈血液氣體分析結果，下列何者應立即報告醫師？",33,113,3,"2026-09-04",1788510712644]