[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-040":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":26},"nurse-110-2-內外科護理學-040","nurse-110-2-medical-surgical-040",110,2,40,"有關瀕死病人護理的敘述，下列何者正確？①出現瀕死前的嘎嘎聲是因為喉嚨有痰，要給予抽痰 ②肛門附近周圍皮膚傷口可使用氧化鋅 ③要鼓勵病人進食，以增加舒適感 ④瀕死病人對刺激無反應時，其聽力也會喪失 ⑤意識不清病人宜採側臥，以利分泌物流出",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②⑤","③⑤","C",null,[],"本題考點在於瀕死病人的舒適護理原則。②肛門周圍皮膚易受分泌物與失禁刺激，使用氧化鋅(zinc oxide)可形成保護層預防皮膚破損，正確。⑤意識不清病人採側臥可藉重力使口咽分泌物流出、維持呼吸道通暢，正確，組合②⑤即正解C。①瀕死嘎嘎聲(death rattle)為咽喉分泌物振動，積極抽痰反增加刺激與不適，並非首選，①錯。③不宜勉強鼓勵進食以免嗆咳與負擔，③錯。④瀕死病人的聽覺是最後消失的感覺，對刺激無反應時聽力仍可能存在，④錯。故正確組合為②⑤的C。","臨終照護以舒適為核心。Death rattle處理以擺位、減少不必要的點滴給液、必要時用抗膽鹼藥減少分泌，而非積極抽痰。感覺消失順序一般為飢餓→口渴→視覺→最後是聽覺與觸覺，故仍可對病人輕聲說話。皮膚照護用氧化鋅或屏障霜防失禁性皮膚炎。記憶口訣「聽覺最後走、勿硬抽勿硬餵、側臥保呼吸道」。可連結概念：安寧緩和照護、失禁性皮膚炎、呼吸道通暢維持。",[24,27,29,31],{"term":25,"count":26},"瀕死病人護理",1,{"term":28,"count":26},"臨終聽覺最後消失",{"term":30,"count":26},"側臥維持呼吸道",{"term":32,"count":26},"氧化鋅皮膚保護",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-041","有關頭頸部放射線治療的敘述，下列何者錯誤？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-medical-surgical-057","有關肺栓塞的醫療處置，下列何者錯誤？",57,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-071","有關糖尿病酮酸中毒（DKA）病人的呼吸特徵，下列何者正確？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-029","病人因住宅火警遭燒傷，身體後背部、右後上肢、左後上肢及左右臀部燒傷，以蘭德—布諾得（Lund & Browder）方法計算燒傷範圍，下列何者正確？",29,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-1-medical-surgical-033","有關急性呼吸窘迫症候群（ARDS）之敘述，下列何者正確？",33,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-027","有關皮膚結構之敘述，下列何者正確？",27,115,"2026-09-04",1788510729158]