[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-1-內外科護理學-024","nurse-112-1-medical-surgical-024",112,1,24,"有關喉癌病人接受全喉切除術的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"氣管造口為暫時性的","術後嗅覺喪失，但不影響味覺","適合第一、二期喉癌病人","術後仍可恢復正常的發聲功能","B",null,[],"本題考點在於全喉切除術後的生理改變。依手術解剖,全喉切除後氣管與食道分離、氣流不再經過鼻腔,故嗅覺喪失,但味蕾仍存在、味覺不受影響,故正確答案為B。A的氣管造口為永久性而非暫時;C全喉切除適用於較晚期(第三、四期)喉癌,早期多採保留喉功能的放療或部分切除;D因聲帶已切除,無法恢復正常自然發聲,須靠食道語或電子喉,故A、C、D皆錯。","全喉切除後,病人以頸部永久性氣管造口呼吸,失去經鼻氣流,故嗅覺、擤鼻與吹氣功能喪失,但味覺(味蕾)保留。發聲重建方式:食道語、氣管食道穿刺(TEP)加發聲鈕、電子喉。照護重點包含造口清潔保濕、避免異物與水進入、洗澡使用護罩,以及吞嚥與營養支持。",[24,27,30,32],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":29},"永久性氣管造口",2,{"term":31,"count":10},"嗅覺喪失味覺保留",{"term":33,"count":10},"食道語與電子喉",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-medical-surgical-025","有關心包填塞（cardiac tamponade）的徵象，下列何者錯誤？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-112-2-medical-surgical-041","有關上腔靜脈症候群之敘述，下列何者正確？",41,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-1-medical-surgical-005","有關癲癇藥物Dilantin的敘述，下列何者正確？",5,113,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-114-2-medical-surgical-003","下列何者不是肝硬化病人發生肝性腦病變的主要誘發因子？",3,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-medical-surgical-007","江先生，85 歲，於 1 個月前頭部不小心撞到門框，當時並無任何異狀，但近來常出現記憶力差、嗜睡等症狀，今早因意識越來越差，由家屬送至急診，經電腦斷層掃描診斷為慢性硬膜下出血，下列敘述何者正確？",7,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-1-medical-surgical-041","當病人出現眼睛疼痛、伴隨噁心嘔吐症狀，下列何者為其最可能之診斷？",107,"2026-09-04",1788510741909]