[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-109-2-內外科護理學-043","nurse-109-2-medical-surgical-043",109,2,43,"有關癌症治療對口腔黏膜之影響與處置，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"舌頭味蕾易被破壞，且治療後味覺不會恢復","唾液腺會受破壞，使得唾液分泌減少","進食後使用止痛噴劑，可改善病人進食的困擾","使用 Mycostatin（Nystatin）漱口液，漱口後吐掉","B",null,[],"本題考點是癌症治療對口腔黏膜的影響與照護，須找出「正確」項。考點在於辨識放射線與化學治療會破壞唾液腺，使唾液分泌減少而口乾，並增加黏膜炎與齲齒風險，故B正確。A錯在味蕾雖受損致味覺改變，但治療結束後味覺多可逐漸恢復，並非永久喪失。C錯在止痛噴劑應在「進食前」使用以減輕黏膜疼痛、利於進食，進食後才用無助於改善進食困擾。D錯在Nystatin（治口腔念珠菌感染）漱口液應含漱後「吞下」或停留讓藥物接觸黏膜，而非漱後吐掉，才能發揮局部抗黴菌作用。故唯一正確為B。","口腔黏膜炎（mucositis）機轉：黏膜屬快速分裂細胞，對放化療高度敏感，上皮受損、唾液腺纖維化導致口乾（xerostomia）與繼發感染。護理重點：軟毛牙刷、無酒精漱口水、生理食鹽水或碳酸氫鈉漱口、避免辛辣過熱食物、進食前用局部麻醉／止痛。念珠菌感染用Nystatin（含著吞）或fluconazole。味覺變化多為暫時性。記憶：「Nystatin要含著（接觸黏膜才有效）、止痛在飯前、口乾要保濕」。",[24,27,30,32],{"term":25,"count":26},"口腔黏膜炎",3,{"term":28,"count":29},"唾液腺破壞與口乾",1,{"term":31,"count":29},"Nystatin口腔念珠菌治療",{"term":33,"count":29},"放化療黏膜毒性",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-044","有關皮膚系統附屬物之敘述，下列何者錯誤？",44,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-medical-surgical-060","當慢性阻塞性肺疾病（COPD）病人出現下列何種評估結果時，護理師須優先採取因應措施？",60,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-medical-surgical-074","承上題，有關王先生診斷可能出現的徵象，下列何者錯誤？",74,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-medical-surgical-032","下列何者最適合接受機械性人工心瓣膜置換術？",32,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-1-medical-surgical-026","有關紅血球增多症病人之護理措施，下列何者錯誤？",26,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-020","下列何者不是心衰竭時心臟代償徵象？",20,114,"2026-09-04",1788510716672]