[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-111-1-內外科護理學-033","nurse-111-1-medical-surgical-033",111,1,33,"輸注下列何種藥物時，需以不透光錫箔紙包住點滴瓶及輸液管？",{"A":14,"B":15,"C":16,"D":17},"Diazoxide（Hyperstat）","Dobutamine（Dobutrex）","Nitroglycerin（Tridil）","Nitroprusside（Nipride）","D",null,[],"本題考點在於辨識哪一種靜脈注射藥物具有光敏感性、需避光給藥。Nitroprusside（Nipride）為強效血管擴張劑，其分子遇光會分解，釋出氰化物（cyanide）並使藥效流失，因此點滴瓶與輸液管都須以不透光錫箔紙包覆避光，故選 D。Diazoxide（A）為降血壓與升血糖藥、Dobutamine（B）為β1受體促效的強心劑、Nitroglycerin（C，Tridil）雖會被 PVC 管路吸附而建議使用專用非 PVC 管路，但三者的臨床重點都不是避光，故均非最佳答案。判斷要訣是把「避光」與 Nitroprusside 的光分解特性連結。","Nitroprusside 分子含五個氰基與一個亞硝基，光照下光解會加速氰化物釋出，長時間或大劑量使用要監測代謝性酸中毒與氰化物中毒徵象。對比記憶：Nitroprusside＝避光；Nitroglycerin＝防 PVC 吸附（用玻璃瓶或特殊管路）；兩者常一起考「哪個要避光」。可延伸複習光敏感藥物清單，如 Amphotericin B、部分維生素製劑等，臨床通常以錫箔或深色套管處理。",[24,26,28,30],{"term":25,"count":10},"Nitroprusside 光分解",{"term":27,"count":10},"氰化物釋出",{"term":29,"count":10},"避光給藥",{"term":31,"count":10},"血管擴張劑",[33,37,42,47,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-034","下列何者是心肌梗塞最常見且會導致死亡的併發症？",34,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-050","接觸性皮膚炎病人因搔癢不適至門診治療，下列護理指導何者錯誤？",50,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-064","王先生的動脈血液氣體分析判讀結果為未代償性呼吸性酸中毒，下列敘述何者正確？",64,112,{"webId":48,"stem":49,"number":41,"year":50,"session":41},"nurse-113-2-medical-surgical-002","有關顱底骨骨折病人有耳漏、鼻漏的評估與及處置，下列敘述何者錯誤？",113,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-114-3-medical-surgical-006","有關小腸阻塞的臨床表徵與評估，下列敘述何者最適當？①劍突下可見強蠕動波 ②嘔吐物含糞便臭味 ③鈉、鉀、氯值降低 ④阻塞早期腸蠕動音消失",6,114,3,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-050","下列何者屬於免疫複合體性之過敏反應？",106,"2026-09-04",1788510734522]