[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-111-1-內外科護理學-023","nurse-111-1-medical-surgical-023",111,1,23,"有關中耳炎手術病人之術後護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"手術後要觀察有無切斷顏面神經的合併症","病人應採用軟質飲食","禁做會阻塞耳咽管的伐氏操作法（Valsalva’s Maneuver）","勿用力擤鼻子、用力咳嗽或打噴嚏","C",null,[],"本題考點是中耳手術後的護理指導,屬選『錯誤』題。A術後觀察有無顏面神經受損(顏面神經走行鄰近中耳,術中可能傷及)、B採軟質飲食(減少咀嚼牽動患耳)、D勿用力擤鼻、咳嗽或打噴嚏(避免壓力經耳咽管衝擊術後移植物),皆正確。C『禁做會阻塞耳咽管的伐氏操作法』錯誤:術後確實應避免伐氏操作法沒錯,但其機轉並非『阻塞耳咽管』,而是伐氏操作(閉口鼻用力鼓氣)會把氣體經耳咽管『灌入』中耳、升高中耳壓,可能頂移或破壞術後移植物;C對機轉的描述錯誤,故為本題的錯誤敘述,選C。","耳咽管(Eustachian tube)連通鼻咽與中耳,負責平衡中耳壓力。伐氏操作法(Valsalva maneuver)是閉口捏鼻用力呼氣,會使空氣沿耳咽管『向上灌入中耳』使壓力上升——這正是它在潛水、飛行時用來『通耳』的原理,並非阻塞耳咽管。中耳(如鼓室成形術、鐙骨手術)術後最怕中耳壓力驟升掀動移植物或人工聽小骨,故凡會升高中耳壓的動作(用力擤鼻、打噴嚏、咳嗽、伐氏)都要避免;打噴嚏時應張口以洩壓。此題屬『指導方向對、但機轉解釋錯』的敘述陷阱。",[24,27,29,31],{"term":25,"count":26},"耳咽管功能",2,{"term":28,"count":26},"顏面神經合併症",{"term":30,"count":10},"伐氏操作法(Valsalva)機轉",{"term":32,"count":10},"中耳術後護理",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-024","下列腫瘤何者源自結締組織？",24,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-medical-surgical-040","林先生在輸血過程中出現頭痛、咳嗽、呼吸困難、心跳加快及血壓升高等情形，最有可能是出現下列那一種輸血反應？",40,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-054","有關病人的肺部身體評估，下列結果何者異常？",54,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-042","有關原發性醛固酮過多症之護理措施，下列何者錯誤？",42,113,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-114-2-medical-surgical-046","有關副甲狀腺機能亢進造成的影響，下列何者錯誤？",46,114,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-1-medical-surgical-040","有關腫瘤病人出現抗利尿激素分泌失調症候群之護理措施，下列何者錯誤？",106,"2026-09-04",1788510734418]