[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-044":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-044","nurse-111-2-medical-surgical-044",111,2,44,"18 歲女大生因玩煙火，導致左手有部分燒痂到急診求診，對燒傷部位的立即護理處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"將左手浸生理食鹽水中","抬高左手減輕水腫","局部用藥減輕感染","手術切開水泡和清創","A",null,[],"本題考點為燒傷的立即護理處置,關鍵在第一時間降溫。依燒傷急救「沖脫泡蓋送」原則,立即以生理食鹽水或冷水浸泡、沖洗患部,可帶走餘熱、減輕組織持續受損與疼痛,故將左手浸生理食鹽水中是正確的立即處置,選 A。B 抬高患肢是後續減輕水腫措施,非立即急救;C 局部用藥減輕感染屬後續傷口處理;D 手術切開水泡與清創是後期外科處置,立即階段不宜弄破水泡(水泡是天然保護屏障)。","燒傷急救五步「沖、脫、泡、蓋、送」:大量流動冷水沖 15～30 分鐘、小心除去衣物飾品、持續浸泡降溫、以乾淨敷料覆蓋、儘速送醫。降溫的病生理意義在於熱能會在移除熱源後仍向深層傳導(zone of stasis),及時降溫可阻止傷害繼續擴大並止痛。須注意大面積燒傷長時間冷水浸泡有失溫風險,故以局部為主。水泡完整時勿弄破,可維持無菌屏障、減少感染與體液流失。抬高患肢屬後續消腫處置,順序上排在急救降溫之後。",[24,27,29,31],{"term":25,"count":26},"燒傷急救",1,{"term":28,"count":26},"沖脫泡蓋送",{"term":30,"count":26},"立即降溫原則",{"term":32,"count":26},"水泡保護屏障",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-045","皮膚表皮破皮並看得到皮下脂肪組織，且傷口出現黏液或滲出物，可能為第幾期壓傷？",45,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-061","有關壓力性尿失禁之敘述，下列何者錯誤？",61,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-075","下列何者為永久性心臟節律器之適應症？",75,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-043","有關尿崩症病人的出院護理指導，下列何者錯誤？",43,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-047","有關過敏性休克之敘述，下列何者正確？①接觸的過敏原可能來自藥物、食物、昆蟲叮咬等              ②發生嚴重支氣管擴張及呼吸困難           ③脈搏次數增快、血壓可能正常或降低   ④通常可立即注射 epinephrine改善情況",47,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-061","有關睪丸癌最主要的危險因子，下列何者正確？",106,"2026-09-04",1788510738614]