[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-110-1-內外科護理學-020","nurse-110-1-medical-surgical-020",110,1,20,"下列何者為骨髓炎病人的常見用藥？",{"A":14,"B":15,"C":16,"D":17},"利尿劑及鈣離子阻斷劑","抗生素及解熱鎮痛劑","骨骼肌肉鬆弛劑及皮質類固醇","抗組織胺及軟便劑","B",null,[],"本題考點為骨髓炎(osteomyelitis)的藥物治療。依病因,骨髓炎多由細菌(最常見為金黃色葡萄球菌)感染骨組織所致,治療核心是長期、足量的抗生素以清除感染,並輔以解熱鎮痛劑控制發燒與疼痛,故選 B 抗生素及解熱鎮痛劑。選項 A 利尿劑與鈣離子阻斷劑用於水腫或心血管疾病,與骨感染無關;選項 C 皮質類固醇具免疫抑制作用,反而不利感染控制,骨骼肌肉鬆弛劑亦非治療骨感染所需;選項 D 抗組織胺用於過敏、軟便劑用於便祕,皆與骨髓炎的抗感染需求無關。故唯 B 對症於感染與發炎的核心處置。","骨髓炎治療原則『長療程抗生素+必要時清創』:因骨組織血流有限、細菌易形成死骨(sequestrum)藏匿,抗生素常需靜脈注射 4–6 週甚至更久。致病菌以 Staph. aureus 為首。類固醇因抑制免疫在活動性感染時應避免。輔助用解熱鎮痛控制發燒與疼痛,並固定患肢、抬高減腫。核心一句話:治感染就是抗生素打好打滿。",[24,27,30,32],{"term":25,"count":26},"骨髓炎",5,{"term":28,"count":29},"抗生素治療",2,{"term":31,"count":10},"金黃色葡萄球菌",{"term":33,"count":10},"解熱鎮痛劑",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-021","下列何者為費林氏測驗（Phalen’s test）陽性反應的描述？",21,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-medical-surgical-037","病人接受化學治療後血小板數值為 10,000 cells\u002Fmm，下列何者為護理評估重點？",37,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-051","有關鞏皮症之敍述，下列何者正確？",51,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-medical-surgical-009","下列何者可用來做為大腸癌手術後是否復發的參考指標？",9,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-medical-surgical-033","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",33,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-medical-surgical-027","成人燒傷部位與範圍包括左上肢全部、左下肢正面及軀幹正面，依據九法則評估其燒傷面積為何？",27,114,3,"2026-09-04",1788510720912]