[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-043":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-112-1-內外科護理學-043","nurse-112-1-medical-surgical-043",112,1,43,"護理之家發生火災，許多住民吸入性灼傷，下列緊急處置，何者正確？",{"A":14,"B":15,"C":16,"D":17},"維持呼吸道通暢並由面罩給 100%的氧氣吸入","發生呼吸窘迫時不適合進行插管","安排病人採平躺側臥","建立由口鼻腔進入的液體輸液通道","A",null,[],"本題考點在於吸入性灼傷的緊急處置。依呼吸道管理原則,吸入性灼傷易造成呼吸道黏膜水腫與缺氧,首要維持呼吸道通暢並以面罩給予100%高濃度氧氣,故正確答案為A。B發生呼吸窘迫時應儘早插管以確保呼吸道,而非不插管;C應採半坐臥或抬高床頭以利呼吸,而非平躺側臥;D液體補充須建立靜脈注射通道,而非由口鼻腔進入,故B、C、D皆錯。","吸入性灼傷警訊:顏面燒傷、鼻毛焦黑、聲音沙啞、喘鳴、痰中含碳粒。因喉頭水腫進展快,把握早期插管時機是關鍵,一旦延誤將難以插管。給100%氧氣同時處理可能的一氧化碳中毒。體液復甦(如Parkland公式)須經靜脈給予。體位以抬高床頭促進呼吸與減輕水腫。",[24,27,29,31],{"term":25,"count":26},"吸入性灼傷",3,{"term":28,"count":10},"維持呼吸道通暢",{"term":30,"count":10},"高濃度氧氣",{"term":32,"count":10},"早期插管時機",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-044","王同學騎機車不慎與汽車擦撞引發機車起火，右小腿外側有 15 公分 ×7.5 公分的皮膚受損，診斷為深二度燒傷。下列臨床表徵何者正確？①皮膚變紅無水泡 ②皮膚呈灰白色有水泡 ③劇烈疼痛感 ④汗腺及毛囊完整 ⑤表皮及真皮層受損",44,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-1-medical-surgical-024","病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",24,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-2-medical-surgical-022","正在接受 sorafenib（Nexavar）治療的癌症病人表示：「服藥後手掌和腳掌都出現脫皮、龜裂、刺痛情形，怎麼會這樣呢？」，下列護理指導何者正確？①洗手時不用力搓洗，穿著寬鬆舒適鞋子 ②可塗擦尿素乳膏或凡士林在患部後穿襪就寢 ③外出須戴帽撐傘防曬，但不可以擦防曬乳 ④皮膚乾癢不適時應給與冰敷或熱敷緩解症狀",22,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-medical-surgical-026","有關心因性休克造成之血流動力學變化，下列何者正確？",26,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-1-medical-surgical-060","有關低血鈣臨床表徵之敘述，下列何者正確？",107,"2026-09-04",1788510742077]