[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-048":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-048","nurse-109-2-medical-surgical-048",109,2,48,"成年病人燒傷面積：軀幹正面皮膚發紅且有大片水泡、右上肢前面皮膚呈現灰白色以及有水泡。依九的法則計算其燒傷總體表面積，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"18%","22.5%","27%","40.5%","B",null,[],"本題考點是成人燒傷面積的「九的法則（rule of nines）」計算。成人軀幹正面占18%，單側上肢占9%（其前面約4.5%）。題中軀幹正面「發紅且有大片水泡」已達二度，須計入，為18%；右上肢前面呈灰白色併水泡（深二度以上）計入，為4.5%。二度以上合計18%＋4.5%＝22.5%，故答案B。A（18%）漏算上肢前面；C、D明顯高估。注意僅有紅斑而無水泡的一度燒傷不列入計算，本題軀幹已有水泡故須計入。","成人九的法則：頭頸9%、每側上肢9%、軀幹前18%＋後18%、每側下肢18%、會陰1%。面積計算只納入『二度（部分厚度）以上』的燒傷；『一度（僅紅斑、無水泡）』如曬傷不計。本題兩處都有水泡＝至少二度，故都要算：軀幹正面18%（整片正面）＋右上肢『前面』4.5%（單肢9%取前半）＝22.5%。誘答陷阱：把整隻手臂算9%會得27%（C），或誤把軀幹正面當9%。深淺分辨—發紅有水泡多為淺二度、灰白（蒼白）併水泡為深二度，兩者皆計入TBSA。",[24,27,29,31],{"term":25,"count":26},"九的法則",1,{"term":28,"count":26},"軀幹正面18%",{"term":30,"count":26},"上肢前面4.5%",{"term":32,"count":26},"二度以上才計入TBSA",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-049","有關照護愛滋病人防護措施之敘述，下列何者正確？",49,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-medical-surgical-065","有關腎病症候群之照護措施，下列何者錯誤？",65,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-medical-surgical-079","有關急救藥物主要治療效果的敘述，下列何者錯誤？",79,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-medical-surgical-037","周女士，52 歲，本身有高血壓及乳癌家族史，有抽菸，在一次回診時表示自己年紀越來越大，很擔心會跟媽媽一樣罹癌，下列建議何者錯誤？",37,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-medical-surgical-031","有關全身性紅斑性狼瘡（SLE）臨床表徵之敘述，下列何者錯誤？",31,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-medical-surgical-025","王先生接受輸血治療過程中發生乾咳、血壓上升、嚴重呼吸困難等情形，下列何者為其最有可能發生的輸血不良反應？",25,114,"2026-09-04",1788510716739]