[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":62},"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":27},"nurse-111-1-基本護理學與護理行政-034","nurse-111-1-fundamental-nursing-034",111,1,34,"林女士，乳癌合併肺部、腦部轉移，因為意識不清，無法自我照顧，今早護理師評估口腔時，發現口頰內右側有白色斑點無法清洗掉、左下側則有潰瘍，清洗時會有皺眉，應與醫師討論下列何種處方協助口腔護理？",{"A":15,"B":16,"C":17,"D":18},"Epinephrine（Bosmin）+ Chlorhexidine","L-Glutamine + Dobell’s solution","Xylocaine + Nystatin（Mycostatin）","L-Glutamine + Difflam","C",null,[],"本題考點是依口腔病灶判讀對症的口腔護理處方。題幹兩線索:右頰內『白色斑點無法清洗掉』指向口腔念珠菌感染(鵝口瘡),需抗黴菌藥;左下側『潰瘍、清洗會皺眉』表示疼痛,需局部麻醉止痛。選項C=Xylocaine(止痛)+Nystatin\u002FMycostatin(抗念珠菌),一藥止痛、一藥抗黴,完全對應病灶,故選C。A、B、D三組(Epinephrine+Chlorhexidine、L-Glutamine+Dobell's、L-Glutamine+Difflam)皆缺抗黴菌成分,無法處理念珠菌斑,故不適。","鑑別要點:可『刮除但基底出血』的白色斑塊=念珠菌;若『刮不掉』且合併免疫低下,仍以念珠菌鵝口瘡為最常見。用藥拆解:Nystatin(Mycostatin)為多烯類抗黴菌藥,結合黴菌細胞膜麥角固醇、局部漱含後可不吞;Xylocaine(lidocaine)局部麻醉,緩解潰瘍疼痛以利清潔。Chlorhexidine、Dobell's為抗菌漱口水,Difflam(benzydamine)為局部抗發炎止痛、L-Glutamine助黏膜修復,皆無抗黴菌力。臨床選藥邏輯:先辨『感染型別+症狀』,再逐一對應到能同時涵蓋『抗黴+止痛』的組合。",[25,28,30,32],{"term":26,"count":27},"Nystatin抗黴菌",2,{"term":29,"count":11},"口腔念珠菌感染(鵝口瘡)",{"term":31,"count":11},"Xylocaine局部麻醉",{"term":33,"count":11},"對症口腔護理",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-fundamental-nursing-035","有關協助病人採辛氏臥姿（Sim’s Position）之敘述，下列何者錯誤？",35,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-111-2-fundamental-nursing-051","一位持續發燒被懷疑敗血症的新入院病人，醫師為確認其診斷及治療，開立了「check blood culture × II 套 St.」，在實際執行該項醫囑之檢體收集時，下列敘述何者錯誤？①應先施打抗生素後再進行該項檢體收集 ②檢體注入收集瓶前應先以碘酒（iodine tincture）消毒瓶口 ③為免病人疼痛，兩套檢體於同時間同部位抽取 ④抽取到的檢體先注入需氧菌培養瓶中 ⑤檢體注入培養瓶前應先更換無菌針頭",51,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-112-1-fundamental-nursing-065","「激勵產生於員工感受到自己的報酬（如薪資、獎賞）與同儕一樣」，屬於下列何種激勵理論的主張？",65,112,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-113-2-fundamental-nursing-003","手術室刷手的操作，應符合那些標準？①內科無菌 ②外科無菌 ③手應高舉至肩上 ④掌部應高於肘部",3,113,{"webId":54,"stem":55,"number":56,"year":57,"session":51},"nurse-114-3-fundamental-nursing-007","與已建立信任關係的病人會談時，下列會談距離何者最適當？",7,114,{"webId":59,"stem":60,"number":42,"year":61,"session":11},"nurse-106-1-fundamental-nursing-051","下列何者不應屬於張先生的入院護理範圍？",106,"2026-09-04",1788510733732]