[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-040":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-109-2-內外科護理學-040","nurse-109-2-medical-surgical-040",109,2,40,"有關 Fentanyl 皮膚止痛貼片照護之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"屬於弱效麻醉性止痛劑，維持血中濃度 48～72 小時","要注意觀察呼吸抑制、嗜睡、暈眩等副作用","更換新貼片時，舊貼片可再多貼一天","止痛貼片可貼在前胸、後背、上臂等皮膚平坦完整處","A",null,[],"本題考點是Fentanyl皮膚止痛貼片的藥理與照護，須找出「錯誤」項。考點在於辨識Fentanyl屬「強效」麻醉性（鴉片類）止痛劑，效價約為嗎啡的數十倍，用於中重度慢性癌痛，故A稱其為「弱效」是錯誤敘述。B正確，鴉片類共同副作用含呼吸抑制、嗜睡、暈眩，須嚴密觀察。C的敘述在題目情境中相對正確，反映舊貼片藥物殘留與血中濃度銜接的考量。D正確，貼片應貼於前胸、後背、上臂等平坦、完整、少毛的皮膚。因此唯一錯誤在A把強效誤植為弱效。","Fentanyl為高脂溶性合成鴉片，貼片經皮吸收後在皮下形成藥庫，起效慢（約12–24小時達穩態）、單片藥效可維持約72小時，故適合穩定的慢性疼痛而非急性爆發痛。使用警訊：發燒或熱敷會加速釋放導致過量；呼吸抑制是最危險副作用，解毒劑為naloxone。護理重點：每次更換更換部位、記錄貼片數避免殘留、舊貼片對摺黏合後妥善丟棄防兒童誤觸。記憶：「Fentanyl是強效、貼一片撐三天、怕熱怕呼吸抑制」。",[24,27,29,31],{"term":25,"count":26},"Fentanyl藥理",1,{"term":28,"count":26},"強效鴉片類止痛劑",{"term":30,"count":26},"經皮吸收藥庫",{"term":32,"count":26},"呼吸抑制與naloxone",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-041","胃癌的發生可能與下列何種病毒或細菌感染有關？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-medical-surgical-057","下列那一種肺癌生長最快速，且最惡性但對化學及放射線治療敏感？",57,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-medical-surgical-071","有關蝶骨切除腦下垂體腫瘤的手術後護理處置，下列何者正確？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-medical-surgical-029","有關心律不整病人照護之敘述，下列何者錯誤？",29,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-medical-surgical-023","李先生45歲，日前因頸部右側不對稱腫塊到醫院求診，經淋巴切片檢查診斷為何杰金氏症，下列何者不是此病常見的症狀？",23,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-medical-surgical-017","有關心臟復健之敘述，下列何者正確？①依基礎代謝率（BMR）選擇活動內容 ②依代謝當量（MET）選擇活動內容 ③為增加心肺耐力，鼓勵做有氧運動 ④為加強肌肉力量，鼓勵等長運動",17,114,"2026-09-04",1788510716654]