[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-112-1-內外科護理學-044","nurse-112-1-medical-surgical-044",112,1,44,"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",{"A":14,"B":15,"C":16,"D":17},"①③④","①④⑤","②③⑤","②④⑤","D",null,[],"本題考點在於深二度燒傷的臨床表徵辨識。深二度傷及表皮與真皮深層，故⑤表皮及真皮層受損正確；因真皮微血管受損、血漿滲出，傷口呈灰白色並形成水泡，故②正確；真皮深層的汗腺與毛囊仍部分保留，成為日後上皮再生來源，故④正確，組合為②④⑤，選 D。①皮膚變紅無水泡屬淺一度（僅表皮）的表現，非深二度；③劇烈疼痛感是淺二度的特徵，深二度因真皮神經末梢受損，痛覺反而較淺二度遲鈍，故不選含③的選項。","燒傷深度與痛覺呈非線性關係值得建立對比：淺二度神經末梢暴露最痛，深二度神經受損痛覺減退，全層（三度）神經完全破壞反而不痛。記憶口訣「淺紅乾痛、深白濕鈍、全層焦黑無感」。深二度保留的毛囊與汗腺基底細胞是上皮化來源，故多能自行癒合但易留疤，可連結燒傷面積九則計算與體液復甦。",[24,26,28,30,32],{"term":25,"count":10},"深二度燒傷",{"term":27,"count":10},"表皮真皮層",{"term":29,"count":10},"水泡形成",{"term":31,"count":10},"痛覺減退",{"term":33,"count":10},"汗腺毛囊保留",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-medical-surgical-045","有關皮膚癌的預防或處置，下列敘述何者錯誤？",45,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-2-medical-surgical-061","有關慢性腎絲球腎炎之敘述，下列何者正確？①肌酸酐清除率（CCr.）數值異常上升 ②血尿素氮及血肌酸酐的數值會異常升高 ③可由經皮腎臟組織切片檢查早期確診 ④腎皮質變厚及腎臟變大",61,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",25,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-2-medical-surgical-023","王小華熱愛打籃球，最近剛被確診為血友病，下列護理指導何者不適當？",23,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-027","有關病人接受經皮穿腔冠狀動脈血管成形術（PTCA）處置之敘述，下列何者錯誤？",27,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-1-medical-surgical-061","有關應力性尿失禁的處置方式，下列何者的治療效益有限？",107,"2026-09-04",1788510742098]