[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-112-1-內外科護理學-052","nurse-112-1-medical-surgical-052",112,1,52,"有關慢性咳嗽病人進行支氣管鏡檢查後，下列護理措施何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"床頭抬高至 80～90 度","禁食直到作嘔反射恢復","臥床休息至少 4 小時","咳出微量血絲痰應立即通知醫師","B",null,[],"本題考點在於支氣管鏡檢查後的首要安全護理。檢查前會對咽喉噴局部麻醉抑制作嘔反射，麻醉未退時進食易造成吸入性肺炎，故最適宜措施為禁食直到作嘔（吞嚥）反射恢復，選 B。A 錯誤，並無須將床頭抬高至 80～90 度，且過度直立與檢查安全無直接關聯；C 錯誤，一般臥床休息時間依情況而定，並非硬性至少 4 小時；D 錯誤，檢查後咳出微量血絲痰屬常見現象，僅在大量咳血時才須通報，故非最適宜的描述。","支氣管鏡屬經口氣道侵入檢查，術後三大觀察：作嘔反射恢復再進食（防吸入）、監測有無大量咳血或呼吸窘迫、若做切片留意氣胸與發燒。局部麻醉常用 Lidocaine 噴霧，恢復通常需 1～2 小時。可對比胃鏡同樣需待咽喉麻醉退、作嘔反射恢復後方可進食，原理一致皆為防止吸入。",[24,27,29,31,33],{"term":25,"count":26},"局部麻醉",2,{"term":28,"count":10},"支氣管鏡檢查",{"term":30,"count":10},"作嘔反射恢復",{"term":32,"count":10},"禁食防吸入",{"term":34,"count":10},"術後觀察",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-053","全球慢性阻塞性肺疾病倡議組織（Global Initiative for Chronic Obstructive Lung Disease, GOLD）將 COPD 嚴重度分為 GOLD 1～4 級，下列何者為分級依據？",53,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-112-2-medical-surgical-069","有關愛迪生氏危機病人的護理措施，下列何者錯誤？",69,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-033","周先生為氣喘病人，使用藥物後，出現「心悸、心律不整」的反應，最可能導致此反應的藥物為下列何者？",33,113,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-114-2-medical-surgical-031","有關類風溼性關節炎復健治療之敘述，下列何者正確？",31,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-035","有關化學治療的適應症，下列何者正確？",35,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-medical-surgical-069","有關服用甲狀腺素之敘述，下列何者正確？",107,"2026-09-04",1788510742157]