[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-043":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-043","nurse-109-1-medical-surgical-043",109,1,43,"有關化學性灼傷的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"立即去除身上的化學物質","可將化學藥劑的中和劑塗抹在皮膚接觸部位","以大量流動的水沖洗接觸部位至少 20 分鐘","眼睛灼傷時，須用生理食鹽水或清水沖洗","B",null,[],"本題考點在化學性灼傷的緊急處置原則。正確做法是先移除身上殘留的化學物質,再以大量流動清水沖洗接觸部位至少20分鐘,靠稀釋與物理沖刷帶走化學物、降低組織傷害;眼睛灼傷同樣以生理食鹽水或清水持續沖洗,故A、C、D皆正確。B之所以錯誤,在於塗抹中和劑會引發酸鹼中和的放熱反應,額外產生熱能造成二次熱灼傷,且中和過程劑量難以控制、反應難預期,反而加重傷害,故臨床禁用中和劑,一律以大量清水稀釋沖洗為原則,因此錯誤選項為B。","化學灼傷處置核心是「立即、大量、持續」的清水沖洗以稀釋並移除腐蝕物,時間常需20分鐘以上、鹼性灼傷甚至更久(鹼會液化性壞死向深部滲透)。中和劑的放熱反應與不可控性是禁用主因;唯乾粉狀化學物應先刷除再沖水以免遇水反應。眼灼傷沖洗方向由內眥往外眥,避免污染健側。",[24,26,28,30],{"term":25,"count":10},"化學性灼傷處置",{"term":27,"count":10},"大量清水沖洗",{"term":29,"count":10},"中和劑放熱反應",{"term":31,"count":10},"二次熱灼傷",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-044","有關過敏性休克之敘述，下列何者錯誤？",44,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-060","有關膀胱癌的敘述，下列何者錯誤？",60,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-074","長期接受血液透析的病人，突然意識改變、出現抽筋及肌肉無力情況，入急診求治，抽血檢查結果：尿素氮／肌酸酐 120 mg\u002FdL／10.6 mg\u002FdL、鉀離子 7.8 mg\u002FdL、鈉離子 135 mg\u002FdL，動脈血液氣體分析結果：pH 7.28、PaO 70 mmHg、PaCO 30 mmHg、 HCO _ 20 mEq\u002FL。下列判斷何者正確？ 2 2 3",74,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-032","病人昨天接受冠狀動脈繞道手術（CABG），胸管引流量共 600 mL，今體溫 38.7℃，血壓 100\u002F60 mmHg， SaO 2 94%。下列處置何者錯誤？",32,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-076","選擇鼻咽人工氣道適當尺寸之量測方式，下列何者正確？",76,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-040","有關良性前列腺肥大之症狀與導因，下列何者正確？",40,113,3,"2026-09-04",1788510712708]