[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-037":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-037","nurse-111-2-medical-surgical-037",111,2,37,"有關癌症病人口腔黏膜障礙照護的敘述，下列何者正確？ ①使用含類固醇的口內膏，可緩解疼痛和發炎 ②Nystatin 可預防白色念珠菌感染，漱口後要吐掉不可吞服 ③病人對苦味的敏感度減少，故可以吃苦瓜和芥菜，補充纖維素 ④使用口香糖可維持口腔濕潤",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點為癌症病人口腔黏膜炎照護,採組合選項判斷。①正確:含類固醇口內膏可緩解口腔黏膜的疼痛與發炎;④正確:嚼無糖口香糖可刺激唾液分泌、維持口腔濕潤,故選 B(①④)。②錯誤處在於 Nystatin 漱口液應含於口中停留再吞服或依醫囑,以使藥物接觸整段消化道黏膜達抗念珠菌效果,並非「漱口後吐掉不可吞服」;③錯誤:化療病人味覺改變且黏膜脆弱,苦瓜、芥菜等粗纖維與刺激性食物易磨傷破損黏膜,不宜鼓勵。","口腔黏膜炎(mucositis)是化放療常見副作用,因快速分裂的黏膜基底細胞受損。照護核心是「溫和、濕潤、防感染」:避免過熱、過酸、粗糙、辛辣食物,採軟質溫涼飲食;以生理食鹽水或小蘇打水漱口清潔,避免含酒精漱口水。Nystatin 針對白色念珠菌,含漱後多建議吞下以覆蓋咽喉與食道黏膜(此為與②的關鍵差異)。唾液減少時可用人工唾液或無糖口香糖刺激分泌。類固醇製劑則兼具消炎止痛作用。",[24,26,29,31],{"term":25,"count":10},"口腔黏膜炎照護",{"term":27,"count":28},"Nystatin 用法",1,{"term":30,"count":28},"唾液刺激",{"term":32,"count":28},"化療味覺改變",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-038","有關癌症病人感染問題的照護與護理指導，下列何者正確？",38,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"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":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-068","有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",68,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-036","朱先生為慢性阻塞性肺病（COPD）病人，使用氧氣鼻套管 2L／分鐘，主訴呼吸喘，朱太太要求護理師將氧氣流量調高。下列何者為最適當的反應？",36,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-medical-surgical-040","預防腎功能不全病人血鉀過高之飲食護理指導，下列何者正確？",40,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-054","有關慢性支氣管炎的病理變化，下列何者錯誤？",106,"2026-09-04",1788510738554]