[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-110-2-基本護理學與護理行政-026","nurse-110-2-fundamental-nursing-026",110,2,26,"協助病人使用口頰溶片 Painkyl ○ R （fentanyl citrate）（buccal soluble films\u002F200 mcg）1 buccalfilm 控制疼痛，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"將藥片放置於舌下","使用前，協助病人潤濕口腔兩頰","藥片使用後，4 小時內完全禁食","藥片置入後 30 分鐘內，應避免飲用液體","B",null,[],"本題考點為口頰溶片（buccal film）fentanyl的給藥方式。考點在於頰內溶片需黏附於口腔頰黏膜以利溶解吸收，事前協助潤濕口腔兩頰可幫助藥片貼附，故選B最適當。A將藥片放置於舌下屬舌下錠的用法，與頰片放置部位不符。C要求使用後4小時內完全禁食缺乏依據且過度限制。D置入後30分鐘內避免飲用液體並非此劑型最關鍵的步驟，頰片溶解快、重點在使用前潤濕黏膜以利黏附，故B較D更適當。","頰內溶片經口腔黏膜吸收，避開肝臟首渡效應，起效快，適用於突破性疼痛。黏膜需適度濕潤使藥片貼附均勻溶解。fentanyl為強效鴉片類，須監測呼吸抑制。記憶：buccal＝貼兩頰、sublingual＝放舌下。可連結：黏膜吸收、首渡效應、突破性疼痛控制。",[25,28,30,32],{"term":26,"count":27},"口頰溶片",1,{"term":29,"count":27},"黏膜吸收",{"term":31,"count":27},"fentanyl",{"term":33,"count":27},"給藥部位",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-fundamental-nursing-027","林女士術後傷口痛，醫囑：Pethidine（Demerol）50 mg IM stat.，為減少注射過程中疼痛與不適，下列措施何者不適當？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-111-1-fundamental-nursing-043","評估病人是否慢性營養不良，下列生化檢驗資料中，何者是最佳的評估指標？",43,111,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-111-2-fundamental-nursing-057","有關組織願景、價值觀、理念與使命的敘述，下列何者正確？",57,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-fundamental-nursing-015","輸血前，需二位護理人員共同雙重核對（double check）的項目，包括下列那些？①捐血者姓名 ②血型 ③血液成分 ④血液有效日期 ⑤捐血者病歷號碼",15,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-114-1-fundamental-nursing-019","有關臥姿與其目的之敘述，下列何者正確？",19,114,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-115-2-fundamental-nursing-013","扁桃腺手術後，醫囑開立冰領使用，有關冷應用與照護的敘述，下列何者正確？",13,115,"2026-09-04",1788510728247]