[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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-050","nurse-111-2-medical-surgical-050",111,2,50,"接觸性皮膚炎病人因搔癢不適至門診治療，下列護理指導何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"屬於過敏反應","避免接觸已知的過敏原","經常用肥皂清潔以緩解過敏症狀","服用抗組織胺類藥物時須避免開車","C",null,[],"本題考點為接觸性皮膚炎的護理指導,關鍵在皮膚屏障保護。經常用肥皂清潔是錯誤的,因肥皂為鹼性、會去除皮脂、破壞皮膚屏障並加重乾燥搔癢與發炎,應以溫水輕柔清潔並保濕,故 C 敘述錯誤,為本題答案。其餘正確:接觸性皮膚炎屬第四型遲發性過敏反應(A對);避免接觸已知過敏原是根本處置(B對);抗組織胺類藥物具鎮靜嗜睡副作用,服用期間應避免開車或操作機械(D對)。","接觸性皮膚炎分刺激性與過敏性,後者為第四型(細胞媒介、遲發型)過敏反應,由 T 淋巴細胞主導,常見致敏原如鎳、橡膠、染劑、化妝品。護理核心是「避開致敏原+保護皮膚屏障」:避免過度清潔與熱水燙洗、勿用鹼性肥皂與含刺激成分產品、清潔後即保濕鎖水。搔癢處理以抗組織胺與局部類固醇為主,抗組織胺(第一代如 Diphenhydramine)會通過血腦障壁引起嗜睡,故須提醒避免駕駛。過度肥皂清潔會愈洗愈癢,是此題陷阱。",[24,26,29,31],{"term":25,"count":10},"接觸性皮膚炎",{"term":27,"count":28},"第四型遲發性過敏反應",1,{"term":30,"count":28},"皮膚屏障保護",{"term":32,"count":28},"抗組織胺嗜睡副作用",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-051","下列何者為與第一型立即性過敏反應有密切關聯的免疫球蛋白？",51,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-medical-surgical-067","有關造成糖尿病病人血糖過低之促因，下列何者正確？",67,112,{"webId":44,"stem":45,"number":28,"year":42,"session":46},"nurse-112-3-medical-surgical-001","陳先生因車禍造成頸椎第 5～6 節完全損傷，已度過脊髓休克期，目前進行膀胱訓練，下列敘述何者正確？ ①屬於痙攣型神經性膀胱 ②只要薦神經受到刺激，即會反射排尿 ③可以利用 Crede’s method 以手握拳，壓在膀胱，協助排空 ④當自解：餘尿量＝2：1，且餘尿小於 100 mL 表示膀胱訓練成功",3,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-113-3-medical-surgical-049","下列何者不是骨折病人應該要密切觀察 6P 的徵象或症狀？",49,113,{"webId":53,"stem":54,"number":46,"year":55,"session":10},"nurse-115-2-medical-surgical-003","有關成人腦室外引流系統裝置的護理措施，下列敘述何者錯誤？",115,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-106-2-medical-surgical-067","有關第 2 型糖尿病之敘述，下列何者正確？",106,"2026-09-04",1788510738679]