[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-109-1-內外科護理學-039","nurse-109-1-medical-surgical-039",109,1,39,"有關癌症病人發生口腔炎之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"教導飯前使用 0.1% xylocaine 漱口，以減輕疼痛","鼓勵飯後 30 分鐘內，以軟毛牙刷清潔口腔","教導食用冷的流質食物，增加維生素攝取","鼓勵自行購買漱口水清潔口腔","D",null,[],"本題考點在於癌症病人口腔炎的護理指導，屬選錯誤題。選項D「鼓勵自行購買漱口水清潔」為錯誤，市售漱口水多含酒精會刺激並加重已破損發炎的口腔黏膜，應改用溫和不含酒精的溶液（如生理食鹽水或碳酸氫鈉水）漱口，故應選D。選項A飯前用0.1% xylocaine（局部麻醉劑）漱口可減輕疼痛利於進食，正確；選項B飯後以軟毛牙刷清潔可維持口腔衛生並減少刺激，正確；選項C食用冷的流質可減輕疼痛並補充營養與維生素，正確。故自行購買含酒精漱口水的指導不當。","化放療引起的口腔黏膜炎（mucositis）源於快速分裂的黏膜細胞受損。照護重點：軟毛牙刷、無酒精漱口水（生理食鹽水或小蘇打水）、避免辛辣過熱與粗硬食物、冷流質止痛、疼痛時局部麻醉劑。含酒精漱口水會使黏膜乾燥灼痛加重潰瘍。營養維持與感染監測同等重要，因黏膜破損是感染入口。",[24,27,30,32],{"term":25,"count":26},"口腔黏膜炎",3,{"term":28,"count":29},"避免含酒精漱口水",2,{"term":31,"count":10},"軟毛牙刷",{"term":33,"count":10},"局部麻醉劑止痛",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-040","下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",40,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-056","下列動脈血液氣體分析的報告，何者最能顯示慢性阻塞性肺疾病（COPD）病人的情況惡化？",56,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-070","有關糖尿病病人產生腎臟病變之敘述，下列何者正確？",70,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-028","有關冠狀動脈繞道手術後，為維持正常心輸出量的處置，下列敘述何者錯誤？",28,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-medical-surgical-072","有關升糖指數飲食指導之敘述，下列何者正確？①升糖指數是指人體食用含醣食物後，血中葡萄糖反應的速度和強度 ②糖尿病人要選擇高升糖指數食物，以免造成低血糖 ③乳品類食物升糖指數較高，常見的食物，如：全脂奶 ④全穀類食物升糖指數較低，常見的食物，如：全麥早餐穀類",72,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-medical-surgical-036","朱先生為慢性阻塞性肺病（COPD）病人，使用氧氣鼻套管 2L／分鐘，主訴呼吸喘，朱太太要求護理師將氧氣流量調高。下列何者為最適當的反應？",36,113,"2026-09-04",1788510712667]