[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-024":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":10},"nurse-111-2-內外科護理學-024","nurse-111-2-medical-surgical-024",111,2,24,"有關鼻咽癌病人接受放射線治療的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"放射線治療為主要治療方式","放射線治療前要評估聽力","放射線治療前先要處理蛀牙","連續 6～7 週不間斷地放射線治療","D",null,[],"本題考點為鼻咽癌放射線治療的正確處置與其副作用預防。鼻咽癌對放射線敏感,依治療原則放射線治療確為主要療法(A對);因照射範圍鄰近耳咽管與內耳,治療前須評估聽力做為基準比對(B對);頭頸部照射會使唾液腺萎縮、口乾,增加齲齒與骨壞死風險,故治療前須先處理蛀牙、完成牙科評估(C對)。標準療程是每週 5 天、連續約 6～7 週,但是治療期間週末會間歇休息以利正常組織修復,並非「不間斷」照射,故 D 敘述錯誤,為本題答案。","放射線分次照射(fractionation)的核心原理在於利用正常細胞與腫瘤細胞修復能力差異:週末休息讓正常黏膜與唾液腺有時間修復亞致死損傷,腫瘤細胞則因修復能力較差而累積死亡。頭頸部放療三大遲發併發症可用「口乾-齲齒-骨壞死」串記:唾液腺受損導致口乾,口乾使齲齒惡化,拔牙後照射區骨骼血供差易致下頜骨放射性骨壞死,故治療前完成牙科處置是關鍵。聽力評估則因耳咽管與內耳位於照野內,可能出現漿液性中耳炎或感音神經性聽損。",[24,26,29,31],{"term":25,"count":10},"放射性骨壞死",{"term":27,"count":28},"鼻咽癌放射線治療",1,{"term":30,"count":28},"分次照射原理",{"term":32,"count":28},"頭頸部放療副作用",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-025","有關扁桃腺炎的處置，下列何者錯誤？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-medical-surgical-041","有關良性腫瘤及惡性腫瘤之敘述，下列何者正確？",41,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-055","陳女士是氣喘病人，過去四週內發生：日間出現氣喘症狀每週一次、因氣喘在夜間醒來兩次、日常活動未因氣喘受影響、需要使用藥物緩解症狀每週超過兩次。依照 GINA（Global Initiative for Asthma, 2019）對氣喘控制程度，其屬於下列何者？",55,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-023","有關體液容積過量之檢驗結果，下列敘述何者正確？①血比容下降 ②血尿素氮下降 ③血漿滲透壓上升 ④血鈉上升",23,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-medical-surgical-027","王先生常年受過敏所苦，想要知道那種過敏原引起過敏反應，下列何項診斷檢查最合適？",27,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-041","有關腫瘤溶解症候群的處置，下列何者錯誤？",106,"2026-09-04",1788510738444]