[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-059","nurse-110-2-medical-surgical-059",110,2,59,"有關以定量吸入器（MDI）方式給藥的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"全身副作用較小","使用後需要漱口","使用時需快速深吸氣","吸完藥物後要閉氣約 5～10 秒","C",null,[],"本題考點在定量吸入器(MDI)的正確使用技巧。MDI給藥時應緩慢且深地吸氣,使藥霧微粒能隨氣流深入細支氣管沉積,若快速深吸氣會使藥物撞擊咽喉而沉積於口咽、降低肺部到達率,故選項C敘述錯誤為答案。MDI屬局部吸入,全身副作用相對口服小,選項A正確;吸入類固醇後需漱口以防口腔念珠菌感染,選項B正確;吸完藥後閉氣約5至10秒讓藥物沉降於肺,選項D亦正確。","MDI正確步驟:搖勻、吐氣、含住吹嘴、按壓同時緩慢深吸氣、閉氣5至10秒再緩緩吐氣;多劑量間隔約1分鐘。搭配吸藥輔助器(spacer)可減少手口協調不良與口咽沉積。記憶重點:慢而深(非快)才能深入肺部。含類固醇者務必漱口防鵝口瘡。可連結乾粉吸入器(DPI)相反:DPI需快速用力吸氣才能將粉末打散,兩者技巧正好相反常拿來對比出題。",[24,27,29,31,33],{"term":25,"count":26},"定量吸入器MDI",1,{"term":28,"count":26},"緩慢深吸氣",{"term":30,"count":26},"漱口防念珠菌",{"term":32,"count":26},"閉氣沉降",{"term":34,"count":26},"DPI對比",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-060","急性腎衰竭病人血清鉀為 7.2 mEq\u002FL，下列處置何者正確？①靜脈注射中長效胰島素及 5%葡萄糖溶液 ②口服或灌腸給予 Kayexalate ③靜脈注射重碳酸鈉 ④鼓勵多食用香蕉、柳丁",60,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"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":46,"stem":47,"number":48,"year":49,"session":26},"nurse-112-1-medical-surgical-010","進行內視鏡逆行性膽胰攝影檢查，若導管不易進入總膽管，可使用下列何種藥物讓歐迪氏括約肌（sphincter of Oddi）鬆弛？",10,112,{"webId":51,"stem":52,"number":53,"year":49,"session":54},"nurse-112-3-medical-surgical-048","有關自動體外心臟電擊去顫器（AED）的操作敘述，下列何者錯誤？",48,3,{"webId":56,"stem":57,"number":10,"year":58,"session":10},"nurse-114-2-medical-surgical-002","有關顱內腫瘤病人顱內壓 ICP=18 mmHg，其照護之敘述，下列何者正確？",114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-medical-surgical-046","有關第 1 型與第 2 型糖尿病比較之敘述，下列何者錯誤？",46,115,"2026-09-04",1788510729338]