[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-045","nurse-110-1-medical-surgical-045",110,1,45,"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？",{"A":14,"B":15,"C":16,"D":17},"休克期應預防低血鈉及代謝性酸中毒","利尿期應預防低血鉀及代謝性酸中毒","在燒傷現場應先沖洗再送醫","恢復期應預防急性腎衰竭","D",null,[],"本題考點為化學燒傷各分期的併發症預防，題目要選「錯誤」者。考點在於急性腎衰竭主要風險出現於休克期（燒傷後大量體液滲出、血容量不足、灌流下降及肌球蛋白阻塞腎小管），而非恢復期，故 D 敘述錯誤。A 休克期因體液與鈉流失、組織灌流不足，須預防低血鈉與代謝性酸中毒，正確。B 利尿期體液回流、鉀隨尿排出，須預防低血鉀，正確。C 化學燒傷現場應先以大量清水沖洗稀釋去除化學物再送醫，正確。","燒傷病生理分期：休克（體液喪失）期（約 48 小時內，血漿滲漏、低血容、少尿、高鉀轉低鈉、代謝性酸中毒，急性腎衰竭風險最高，因低灌流＋肌球蛋白／血紅素堵塞腎小管）；利尿（體液回流）期（間質液回血管、尿量增、鉀隨尿流失易低血鉀）；恢復期（組織修復、疤痕與攣縮防治）。化學燒傷首要大量清水沖洗。記憶：休克期＝缺水缺鈉酸中毒＋腎衰，利尿期＝尿多流鉀，腎衰不在恢復期。",[24,27,30,32,34],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":29},"急性腎衰竭",8,{"term":31,"count":10},"化學燒傷",{"term":33,"count":10},"休克期",{"term":35,"count":10},"利尿期",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-046","有關燒傷病人居家照護的護理指導，下列何者錯誤？",46,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-110-2-medical-surgical-062","有關膀胱癌進行尿路改道手術後之照護，下列何者正確？",62,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-111-1-medical-surgical-076","下列何者不是休克時會發生之代償機轉？",76,111,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-112-2-medical-surgical-034","張小姐，42 歲，診斷為乳癌第二期，日前進行癌症治療，有關腫瘤標記之敘述，下列何者錯誤？",34,112,{"webId":57,"stem":58,"number":29,"year":59,"session":60},"nurse-113-3-medical-surgical-008","接受經肝動脈化學栓塞術病人的敘述，下列何者正確？",113,3,{"webId":62,"stem":63,"number":45,"year":64,"session":10},"nurse-115-1-medical-surgical-002","有關重症肌無力之敘述，下列何者正確？①屬於自體免疫疾病，體內產生攻擊Ach接受器的抗體           ② 第一型僅侵犯眼肌，造成複視和眼瞼下垂          ③四肢肌肉的無力發生在遠端和下肢且為不對稱   ④當侵犯肋間肌，通氣容積會減少，嚴重呼吸困難致死",115,"2026-09-04",1788510721202]