[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-025":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-111-2-內外科護理學-025","nurse-111-2-medical-surgical-025",111,2,25,"有關扁桃腺炎的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"急性發炎時行扁桃腺切除術","用溫食鹽水漱口","冰敷可以緩解咽喉部疼痛","發燒症狀消退後，抗生素仍需使用 48～72 小時","A",null,[],"本題考點為扁桃腺炎與扁桃腺切除術的時機。依手術原則,急性發炎期組織充血水腫、血管脆弱,切除易致大出血與感染擴散,故手術須待急性期消退後再施行,不可在急性發炎時進行,故 A 敘述錯誤,為本題答案。其餘為正確處置:溫食鹽水漱口可清潔咽喉、緩解不適(B對);冰敷或冷飲能收縮血管、減輕咽喉疼痛與腫脹(C對);抗生素針對鏈球菌感染須完成療程,退燒後仍應續用 48～72 小時以徹底清除病菌、避免復發與風濕熱併發症(D對)。","扁桃腺切除的擇期原則與所有擇期手術相同:避開急性感染期。急性化膿期血流豐富、組織脆弱,術中止血困難、術後出血風險大增。抗生素「退燒後續用」的邏輯在於症狀緩解不等於細菌清除,A 群 β 溶血性鏈球菌若未根除,可能引發急性風濕熱與鏈球菌感染後腎絲球腎炎等免疫併發症,故療程完整性重於症狀消失。術後出血好發於術後 24 小時內(原發)與 5～10 天結痂脫落期(續發),觀察頻繁吞嚥動作是早期出血徵象。",[24,27,29,31],{"term":25,"count":26},"扁桃腺切除術時機",1,{"term":28,"count":26},"急性發炎期手術禁忌",{"term":30,"count":26},"鏈球菌感染",{"term":32,"count":26},"抗生素療程完整性",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-026","86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-042","下列那一類白血病的預後最好？",42,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-056","下列何者是誘發病人發生急性呼吸窘迫症候群（ARDS）最常見的危險因子？",56,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-024","林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",24,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-028","長期臥床病人採仰臥姿勢時，下列何者是皮膚壓力性損傷較不常發生的部位？",28,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-042","有關一氧化碳中毒的臨床表徵，下列何者正確？",106,"2026-09-04",1788510738447]