[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-038","nurse-110-1-medical-surgical-038",110,1,38,"有關化學藥物發生滲漏的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"化學藥物滲漏時，都會有疼痛和紅腫的現象","發生化學藥物滲漏，須立即停止注射藥物，並拔除針頭","植物鹼類化學藥物發生滲漏時，應溫熱敷外滲部位","加壓滲漏部位，並抬高患肢以減輕腫脹","C",null,[],"本題考點為化學治療藥物滲漏（extravasation）的處置原則。考點在於不同藥物滲漏採不同溫度處置：植物鹼類（如長春花生物鹼）滲漏時應給予溫熱敷以助藥液分散吸收並配合解毒劑，故 C 正確。A 錯在絕對化，滲漏不一定都立即出現疼痛與紅腫，可能延遲表現。B 錯在拔針時機，發泡性藥物滲漏須先停止輸注但常需保留針頭抽吸殘藥與注入解毒劑，非一律立即拔除。D 錯在加壓，加壓會使藥液向周圍組織擴散，應避免。","滲漏處置的冷熱原則：多數發泡劑（如 anthracycline 類 doxorubicin）用冷敷使血管收縮、局限藥物；而植物鹼（vinca alkaloids，如 vincristine）與部分藥物用溫敷促進分散吸收，並可搭配 hyaluronidase。共通步驟：立即停輸注、保留導管抽吸殘液、標記範圍、依藥物給對應解毒劑與冷／溫敷、抬高患肢、勿加壓。記憶：蒽環冷敷收血管、長春溫敷助擴散；先抽殘再拔針。",[24,27,29,31,33],{"term":25,"count":26},"溫熱敷",2,{"term":28,"count":10},"化學治療藥物滲漏",{"term":30,"count":10},"植物鹼類",{"term":32,"count":10},"發泡性藥物",{"term":34,"count":10},"解毒劑",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-medical-surgical-039","有關血小板減少症照護的敘述，下列何者正確？",39,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-110-2-medical-surgical-055","下列何者為肺炎病人最可能出現的臨床表徵？",55,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-111-1-medical-surgical-069","有關黏液水腫昏迷之檢查結果，下列何者錯誤？",69,111,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-112-2-medical-surgical-027","有關第一期心臟復健，下列敘述何者錯誤？",27,112,{"webId":55,"stem":56,"number":10,"year":57,"session":58},"nurse-113-3-medical-surgical-001","下列診斷檢查敘述何者錯誤？",113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-114-3-medical-surgical-045","有關造成糖尿病人血糖過高之促因，下列敘述何者最不適當？",45,114,"2026-09-04",1788510721131]