[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-047":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-110-2-內外科護理學-047","nurse-110-2-medical-surgical-047",110,2,47,"有關燒傷病人敷料應用的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"1% Silver Sulfadiazine 不會造成酸鹼與電解質不平衡","0.5% Silver Nitrate 會造成高血鈉，應密切監測電解質","Gentamycin Sulfate 適用於臉部傷口，應密切監測腎功能變化","使用 1% Silver Sulfadiazine 應觀察有無白血球數目減少","B",null,[],"本題考點在燒傷外用抗菌藥物的電解質副作用。0.5% Silver Nitrate(硝酸銀)為低張溶液,會把傷口的鈉、鉀、鈣、氯離子滲出帶走,造成低血鈉、低血鉀等電解質流失,而非高血鈉,故選項B敘述錯誤為答案。1% Silver Sulfadiazine不影響酸鹼與電解質平衡,敘述正確;Gentamycin Sulfate具腎毒性,用於臉部傷口時須監測腎功能,正確;Silver Sulfadiazine可能引起暫時性白血球減少須觀察,亦正確。","口訣:硝酸銀為低張、滲出電解質導致低血鈉低血鉀,還會使傷口變黑並染色;Silver Sulfadiazine(SSD)最常用、廣效但可能造成暫時性白血球低下;Mafenide acetate穿透焦痂佳但抑制碳酸酐酶易致代謝性酸中毒。三者比較是燒傷外用藥常考點。硝酸銀因低張,使用時須監測血中電解質變化並注意環境染色問題。",[24,27,30,32,34],{"term":25,"count":26},"低血鈉",3,{"term":28,"count":29},"硝酸銀",1,{"term":31,"count":29},"Silver Sulfadiazine",{"term":33,"count":29},"白血球減少",{"term":35,"count":29},"燒傷外用藥",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-medical-surgical-048","有關後天免疫缺乏症候群（acquired immunodeficiency syndrome, AIDS）病人出院護理指導的敘述，下列何者錯誤？",48,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-medical-surgical-064","梁太太規律接受血液透析，因腎性貧血服用葉酸，其最恰當的服用時間為何？",64,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-medical-surgical-078","有關矯正休克病人低血壓的護理措施，下列何者錯誤？",78,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-112-3-medical-surgical-036","有關執行氣切造口術病人抽痰的敘述，下列何者不適當？",36,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-1-medical-surgical-040","有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",40,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-034","張力性氣胸是指空氣滯留在以下那個部位無出口，造成吸氣時空氣進入，吐氣時卻無法排出，而產生單向瓣膜效應（one-way valve effect）？",34,115,"2026-09-04",1788510729243]