[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-049","nurse-109-1-medical-surgical-049",109,1,49,"有關氣喘病人使用糖皮質類固醇吸入劑（glucocorticoid inhaled medication）之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"將此藥含在口中 15 秒後再緩慢吸入","當急性發作時應立即使用此藥緩解","使用此藥物後應漱口","此藥不可突然停藥必須逐漸減量","C",null,[],"本題考點為吸入型糖皮質類固醇的用藥護理。此類藥物為氣喘長期控制用抗發炎藥,吸入後殘留口咽的類固醇會抑制局部免疫,易引起口腔念珠菌感染與聲音沙啞,故使用後應漱口,C正確。A將藥含在口中15秒再吸入的方式錯誤,應協調呼吸直接吸入下呼吸道;B此藥為控制型非急救型,急性發作應使用短效乙型受體促效劑(SABA)而非吸入型類固醇;D「不可突然停藥須逐漸減量」主要針對長期全身性口服類固醇以免腎上腺危象,並非此吸入指導的重點,故正確者為C。","吸入型類固醇(ICS)是氣喘階梯治療的抗發炎基石,SABA才是緩解急性發作的救援藥,兩者角色勿混。漱口可降低口咽念珠菌感染(鵝口瘡)與局部副作用;搭配間隔器(spacer)亦能減少口咽沉積。全身性長期類固醇驟停會致腎上腺功能不全,須漸減。",[24,27,29,31],{"term":25,"count":26},"口腔念珠菌感染",2,{"term":28,"count":10},"吸入型糖皮質類固醇",{"term":30,"count":10},"使用後漱口",{"term":32,"count":10},"控制型與救援型藥物",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-050","當肺炎病人出現呼吸道清除功能失效與分泌物增加，且無法進行有效性咳嗽。下列護理措施何者最能促進其清除痰液？",50,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-066","有關腎臟所製造荷爾蒙的生理功能，下列何者正確？",66,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-080","下列何者不屬於傳染病的護理評估項目？",80,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-038","有關癌症病人感染問題的照護與護理指導，下列何者正確？",38,111,{"webId":53,"stem":54,"number":26,"year":55,"session":56},"nurse-112-3-medical-surgical-002","有關癲癇病人發作時的護理措施，下列敘述何者錯誤？",112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":56},"nurse-113-3-medical-surgical-046","有關腦下垂體中風之臨床表徵，下列何者錯誤？",46,113,"2026-09-04",1788510712772]