[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":11},"nurse-111-1-基本護理學與護理行政-017","nurse-111-1-fundamental-nursing-017",111,1,17,"張先生為癌末病人，醫囑開立 Fentanyl 止痛貼片使用，給予藥物指導時，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"建議黏貼疼痛部位效果最好","貼上皮膚後，以手掌緊壓貼片 30 秒","每次更換新貼片，應貼在同一部位","建議可泡熱水澡，提升藥物效果","B",null,[],"本題考點在於Fentanyl經皮止痛貼片的正確使用衛教。貼片貼上皮膚後,須以手掌平壓約30秒,確保貼片與皮膚完全密合以利藥物穩定經皮吸收,故B正確,為本題答案。A錯誤:貼片為全身性經皮吸收,應貼於平坦乾淨、無毛少皺褶的軀幹或上臂,而非疼痛部位。C錯誤:每次更換應更換不同部位以避免皮膚刺激與吸收不均。D錯誤:熱源(熱水澡、電熱毯)會加速藥物釋放與吸收,增加過量與呼吸抑制風險,應避免。正確者為B。","Fentanyl貼片是強效鴉片類,經皮緩釋。衛教重點:貼平坦少毛的乾燥皮膚、按壓30秒使密合、輪替部位、避免熱源(發燒或熱敷會使吸收暴增導致鴉片過量)、撕下的舊貼片仍含殘藥須對折丟棄防兒童誤觸。過量徵象為呼吸抑制、瞳孔縮小、意識改變,解毒劑為naloxone。此題四選項各對應一個常見用藥安全陷阱。",[25,27,29,31,33],{"term":26,"count":11},"Fentanyl經皮貼片",{"term":28,"count":11},"經皮吸收",{"term":30,"count":11},"貼片按壓密合",{"term":32,"count":11},"避免熱源",{"term":34,"count":11},"鴉片類用藥安全",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-111-1-fundamental-nursing-018","有關給藥方法敘述，下列何者錯誤？",18,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-111-2-fundamental-nursing-034","有關擺位的敘述，下列何者錯誤？",34,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-112-1-fundamental-nursing-048","王先生因車禍骨折右下肢進行皮膚牽引，為避免患肢發生血栓性靜脈炎，可教導病患執行下列何種活動？",48,112,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-113-1-fundamental-nursing-036","有關目標管理，下列敘述何者正確？",36,113,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-114-2-fundamental-nursing-040","因及時介入行動，使原本可能導致的意外未真正發生，屬於下列何種病人安全事件？",40,114,{"webId":61,"stem":62,"number":43,"year":63,"session":11},"nurse-106-1-fundamental-nursing-034","女性會陰沖洗方式，下列敘述何者錯誤？",106,"2026-09-04",1788510733567]