[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-110-2-內外科護理學-027","nurse-110-2-medical-surgical-027",110,2,27,"有關高血壓病人服用 Propranolol（Inderal）的護理指導，下列何者正確？①需確認病人有無氣喘 ②服藥前宜先檢查心跳次數 ③副作用有低血鈉 ④副作用會造成脫水",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②③","②④","A",null,[],"本題考點在於非選擇性β受體阻斷劑Propranolol的用藥護理。此藥阻斷β2受體會誘發支氣管平滑肌收縮，故給藥前須確認病人有無氣喘或慢性阻塞性肺病以免誘發氣喘發作，①正確。阻斷β1會減慢心跳，服藥前宜先測量心跳次數，心搏過慢時須留意，②正確，組合①②為正解A。低血鈉(③)並非其典型副作用。造成脫水(④)亦非β阻斷劑的作用，反而可能因心輸出減少而水腫。故正確組合為①②的A。","Propranolol為非選擇性β阻斷劑(β1+β2)。β1↓致心跳與心收縮力下降、降血壓、抗心絞痛;β2阻斷致支氣管收縮(氣喘禁忌)並掩蓋低血糖警訊(心悸)，糖尿病患須留意。突然停藥可致反彈性心搏過速與心絞痛，須漸減。給藥前測心跳\u003C60次\u002F分須評估是否暫停。記憶口訣「β阻斷先問氣喘、先數脈搏、勿驟停」。可連結概念：選擇性β1阻斷劑、心衰竭用藥、低血糖症狀掩蓋。",[24,26,29,31],{"term":25,"count":10},"Propranolol",{"term":27,"count":28},"β受體阻斷劑",1,{"term":30,"count":28},"支氣管收縮",{"term":32,"count":28},"服藥前測心跳",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-028","有關心肌梗塞病人的護理，下列敘述何者錯誤？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-medical-surgical-044","有關決定膚色的黑色素細胞主要分布在下列那一層？",44,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-058","有關急性呼吸窘迫症候群（ARDS）病生理變化的敘述，下列何者正確？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-016","有關全喉切除術後的護理指導，下列敘述何者正確？",16,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-medical-surgical-020","有關靜脈剝除結紮手術（stripping and ligation）術後照護之敘述，下列何者錯誤？",20,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-014","有關使用耳滴劑的注意事項，下列何者正確？①使用前搖動藥水使其均勻 ②躺向健側使患耳朝上 ③滴耳藥前要先滴生理食鹽水 ④滴藥後以棉棒擦拭耳內多餘藥水",14,115,"2026-09-04",1788510729006]