[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-047","nurse-111-1-medical-surgical-047",111,1,47,"有關燒傷深度的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"一度燒傷是指表皮受到損害，會有疼痛感","二度燒傷是指真皮層受到損傷，會有劇烈疼痛","三度燒傷是指全皮層的損傷，會有劇烈疼痛","四度燒傷是指全皮層、肌肉和骨骼的損傷，沒有疼痛感","C",null,[],"本題考點為燒傷深度分級的錯誤敘述。選項C稱三度燒傷會有劇烈疼痛，實際上三度（全皮層）燒傷已破壞真皮內的神經末梢，患處反而痛覺喪失或麻木，僅周邊較淺處疼痛，故此敘述錯誤選 C。A一度僅表皮受損、紅腫疼痛、B二度傷及真皮、因神經末梢暴露而劇痛且起水泡、D四度深及肌肉骨骼、神經破壞故無痛感，皆為正確。判斷依據為疼痛程度與神經末梢完整性成正比：淺度與二度最痛，全層破壞則痛覺喪失。","疼痛感與深度呈非線性：一度紅斑痛、淺二度水泡最劇痛（神經暴露）、深二度感覺減退、三度全層焦痂痛覺喪失。三度創面外觀呈蒼白、焦黑或蠟白皮革樣、不變白（按壓無血液回填）。燒傷面積用九則法（rule of nines）估算，深度與面積共同決定體液復甦與預後。記憶：「越深越不痛」，三度痛覺喪失是常考陷阱。",[24,27,29,31],{"term":25,"count":26},"燒傷深度分級",2,{"term":28,"count":26},"三度燒傷",{"term":30,"count":26},"神經末梢破壞",{"term":32,"count":10},"痛覺喪失",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-048","有關後天免疫缺乏症候群（Acquired Immunodeficiency Syndrome, AIDS）之敘述，下列何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-medical-surgical-064","有關腎臟癌的敘述，下列何者正確？",64,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-078","有關敗血症生理病理機轉之敘述，下列何者正確？①細菌感染引發腫瘤壞死因子活化產生微小血栓 ②微生物侵入人體造成微血管通透性增加、全身循環血量增加 ③全身代謝狀態升高造成細胞耗氧量增加，但組織血流灌注降低，產生代謝性酸中毒 ④因心臟受刺激出現血壓上升，可能引發尿量增加",78,112,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-113-2-medical-surgical-016","有關感染性心內膜炎臨床表徵之敘述，下列何者錯誤？",16,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-020","病人剛開始輸血 20 mL 就發生皮膚癢、蕁麻疹、哮喘，最有可能發生下列那一種輸血反應？",20,114,3,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",106,"2026-09-04",1788510734634]