[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-046":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-046","nurse-111-2-medical-surgical-046",111,2,46,"有關皮膚惡性腫瘤病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病灶處需要適當的加壓，以減少疼痛","教導每日檢查皮膚，觀察病灶及其變化","儘量減少曝曬於陽光下，並須執行適當的防曬措施","告知身上的痣若出現潰瘍、滲液、痛癢時，則需就醫","A",null,[],"本題考點為皮膚惡性腫瘤的護理措施。病灶處「加壓」並非正確措施,惡性腫瘤病灶不應加壓,以免摩擦刺激、破壞病灶或促進擴散,加壓也非止痛的適當方法,故 A 敘述錯誤,為本題答案。其餘正確:教導每日自我檢查皮膚、觀察病灶變化以早期發現惡化(B對);減少日曬並確實防曬,因紫外線是皮膚癌重要危險因子(C對);告知痣若出現潰瘍、滲液、癢痛等變化須就醫評估,符合黑色素瘤警訊觀念(D對)。","皮膚惡性腫瘤護理重點在「防曬、監測、避免刺激」。紫外線(尤其 UVB)是主要致病因子,故防曬(遮蔽、防曬乳、避開正午日照)是核心衛教。自我監測可用黑色素瘤 ABCDE 法則:Asymmetry(不對稱)、Border(邊緣不規則)、Color(顏色不均)、Diameter(直徑大於 6mm)、Evolving(變化)。病灶出現潰瘍、滲液、快速變化須儘速就醫評估。對病灶加壓沒有治療根據,反可能造成機械性刺激與破損,故為錯誤措施。護理也須顧及外觀改變帶來的身體心像衝擊與心理支持。",[24,27,29,31],{"term":25,"count":26},"皮膚惡性腫瘤護理",1,{"term":28,"count":26},"紫外線防曬",{"term":30,"count":26},"黑色素瘤 ABCDE 法則",{"term":32,"count":26},"避免病灶刺激",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-047","有關燒傷的病生理變化，下列何者錯誤？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-063","有關抗利尿激素分泌不當症候群（SIADH）病人之臨床表徵，下列何者錯誤？",63,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-077","有關敗血症第一小時組合照護（hour-1 bundle）之敘述，下列何者正確？①應快給與抗生素使用，但須先做血液培養 ②施打 1 種或多種廣效抗生素療程約 7～10 天 ③病人低血壓或血清乳酸值大於 2 mmol\u002FL，應儘快輸液以 40 mL\u002Fkg 量輸注 ④病人低血壓在輸液後維持平均動脈壓至少大於或等於 60 mmHg",77,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-045","有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",45,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-049","有關病人誤食強鹼溶液之處置，下列何者錯誤？",49,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-063","有關腎前性急性腎衰竭之檢驗數據，下列何者錯誤？",106,"2026-09-04",1788510738652]