[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-044":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-044","nurse-110-1-medical-surgical-044",110,1,44,"下列皮膚病灶何者是原發性皮膚病變？",{"A":14,"B":15,"C":16,"D":17},"潰瘍（Ulcer）：皮膚受損傷及真皮或皮下組織","糜爛（Erosion）：表皮層流失，傷口潮濕界線分明的凹陷","抓痕（Excoriation）：表皮表面線狀、深度不一的小缺損","膨疹（Wheal）：皮膚腫起有明顯界線但外觀呈不規則狀","D",null,[],"本題考點為原發性與續發性皮膚病灶的區分。考點在於原發性病變是直接發生在原本正常皮膚上的初始病灶，膨疹（Wheal）為真皮暫時性水腫隆起、界線明顯而外形不規則，屬原發性病變，故選 D。A 潰瘍傷及真皮或皮下、C 抓痕屬表皮線狀缺損、B 糜爛為表皮層流失，這三者均是在原發病灶之後因搔抓、破損或演變而生的續發性病變，故非原發性。判斷關鍵在於病灶是「一開始就出現」還是「後續演變」而成。","皮膚病灶分類：原發性（直接發生於正常皮膚）＝斑（macule）、丘疹（papule）、結節、水疱、膿疱、膨疹；續發性（由原發病灶演變或外力造成）＝鱗屑、結痂、糜爛、潰瘍、抓痕、苔癬化、疤痕。膨疹是即發型過敏（如蕁麻疹）的表現，真皮水腫、來得快去得快。記憶：原發＝天生第一手病灶，續發＝後天破壞或演變。潰瘍糜爛抓痕都帶「組織流失」的續發特徵，膨疹則是新起的隆起。",[24,27,29,31,33],{"term":25,"count":26},"原發性皮膚病變",2,{"term":28,"count":10},"續發性皮膚病變",{"term":30,"count":10},"膨疹",{"term":32,"count":10},"潰瘍",{"term":34,"count":10},"糜爛",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-medical-surgical-045","有關化學物質燒傷導致皮下組織損傷的處置，下列何者錯誤？",45,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-110-2-medical-surgical-061","有關急性腎絲球腎炎的敘述，下列何者錯誤？",61,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-111-1-medical-surgical-075","有關使用 Spironolactone（Aldactone）藥物指導之敘述，下列何者正確？①須注意鉀離子濃度 ②須注意鎂離子濃度 ③鼓勵多食用柑橘類食物 ④不宜食用芭樂",75,111,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-112-2-medical-surgical-033","有關急性移植物對抗宿主疾病（Graft-versus-host-Disease, GVHD）之敘述，下列何者正確？",33,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-medical-surgical-007","有關痔瘡切除手術病人術後之護理措施，下列何者適當？",7,113,3,{"webId":61,"stem":62,"number":10,"year":63,"session":10},"nurse-115-1-medical-surgical-001","陳先生T3～T5脊髓損傷，目前血壓250\u002F140 mmHg，心跳50～55次／分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象？",115,"2026-09-04",1788510721198]