[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-109-2-內外科護理學-031","nurse-109-2-medical-surgical-031",109,2,31,"有關心絞痛之常用藥物 Nitroglycerine（NTG）之護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"疼痛時服用，連續 5 顆無效，才考慮就醫","舌下含服時，舌頭會感到熱、辣","平時應存放在遮光陰涼處，避免高溫","使用皮膚貼片時，應每日更換貼片，並輪換部位","A",null,[],"本題考點在於硝化甘油（NTG）的用藥衛教，屬「找錯誤」。心絞痛發作時舌下含服 NTG，每 5 分鐘可重複一次，若含服 3 次仍無緩解須儘速就醫，而非「連續 5 顆無效才考慮就醫」，故 A 錯誤，為答案。B 舌下含服時舌頭有熱辣感是藥物有效的正常反應，正確。C NTG 對光與高溫敏感易失效，應存放於遮光陰涼處，正確。D 皮膚貼片應每日更換並輪換部位，以維持藥效並避免耐受性與皮膚刺激，正確。故衛教錯誤者為 A。","NTG 為硝酸鹽類血管擴張劑，主要擴張靜脈降低前負荷、減少心肌耗氧，緩解心絞痛。舌下含服原則：發作即坐下或平躺（避免姿位性低血壓與暈厥），每 5 分鐘一顆、最多 3 顆，若 3 顆後仍痛須警覺心肌梗塞並立即就醫。副作用：頭痛、臉潮紅、低血壓。藥物遇光遇熱易分解，需棕色瓶避光、隨身少量、定期更新。貼片使用需設「無藥時段」以避免耐受性（nitrate tolerance）。切記與 PDE5 抑制劑（如威而鋼）併用會嚴重低血壓，屬禁忌。",[24,27,30,32,34],{"term":25,"count":26},"前負荷",7,{"term":28,"count":29},"硝化甘油",1,{"term":31,"count":29},"舌下含服三次原則",{"term":33,"count":29},"藥物避光保存",{"term":35,"count":29},"硝酸鹽耐受性",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-medical-surgical-032","有關抗心律不整藥物，下列何者屬於鈉離子通道阻斷劑？",32,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-110-1-medical-surgical-048","有關愛滋病檢驗的敘述，下列何者正確？",48,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-medical-surgical-062","有關膀胱癌進行尿路改道手術後之照護，下列何者正確？",62,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-1-medical-surgical-020","有關骨質疏鬆症病人對於護理指導之回覆，下列何者表示病人已經清楚指導內容？",20,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-113-1-medical-surgical-014","下列何者為白內障最有效的治療方式？",14,113,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-2-medical-surgical-008","有關上腸胃道出血的照護，下列何者錯誤？",8,114,"2026-09-04",1788510716537]