[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-109-2-基本護理學與護理行政-048","nurse-109-2-fundamental-nursing-048",109,2,48,"林女士，診斷淋巴癌，化學治療期間有噁心嘔吐、口腔出現疼痛、紅斑合併多處潰瘍，其口腔護理措施，下列何者適當？",{"A":15,"B":16,"C":17,"D":18},"建議宜採用 Dobell’s solution 清潔口腔","減少口腔清潔頻次以降低疼痛","病人進食後，應立即執行特別口腔護理","採用生理食鹽水清潔口腔，可促進黏膜再生","D",null,[],"本題考點為化療引起口腔黏膜炎（mucositis）的口腔護理。化療病人口腔黏膜脆弱、疼痛且有潰瘍，應採溫和不刺激的清潔液，生理食鹽水等張、溫和，可清潔並維持濕潤、促進黏膜修復，故選D。選項A的Dobell's solution含硼砂等刺激性成分，對潰瘍黏膜過度刺激、不建議；選項B減少清潔次數會使殘渣與細菌堆積、增加感染與惡化，錯誤；選項C進食後立即執行特別口腔護理過於頻繁且時機不當，易加重疼痛與黏膜損傷。判斷關鍵在黏膜炎首選溫和的生理食鹽水漱洗。","化療或放療口腔黏膜炎照護：黏膜脆弱勿用含酒精漱口水、硬毛牙刷、刺激性溶液（如Dobell's含硼砂、高濃度過氧化氫）；首選溫和的生理食鹽水或碳酸氫鈉漱洗，每2至4小時及餐後、睡前執行，以移除殘渣並保濕；疼痛可用局部麻醉漱劑；避免過熱、過酸、粗糙食物。維持而非減少清潔頻次是預防續發感染的關鍵。",[25,27,30,32],{"term":26,"count":11},"生理食鹽水口腔護理",{"term":28,"count":29},"化療口腔黏膜炎 mucositis",1,{"term":31,"count":29},"刺激性漱口液禁用",{"term":33,"count":29},"黏膜修復",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-049","以造口灌食法提供病人腸道營養之途徑，下列何者正確？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-fundamental-nursing-065","在人力資源管理體系中，設計員工行為規範可以使組織成員導向共同行為和工作習慣。成功的行為規範設計應注意幾項原則，下列何者較不適當？",65,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-079","有關醫療糾紛的敘述，下列何者錯誤？",79,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-fundamental-nursing-037","林先生因感染導致敗血症，一天內有時體溫達 39℃以上，有時又會突然降到正常值以下，如此交替出現，此發燒類型應為：",37,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-1-fundamental-nursing-031","病人因車禍骨折，目前右手上石膏固定，為了避免病人的右手肌肉萎縮，應教導病人的患肢做何種運動？",31,113,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-114-2-fundamental-nursing-025","38 歲女病人至不孕症門診求診，醫師建議每日測量基礎體溫。當體溫出現何種變化，代表生理週期中的黃體素濃度增加？",25,114,"2026-09-04",1788510715899]