[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-021":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":10},"nurse-112-2-內外科護理學-021","nurse-112-2-medical-surgical-021",112,2,21,"有關急性鼻竇炎的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抗生素至少要連續使用 7 天以上","可以使用解熱鎮痛劑緩解發燒及疼痛","鼻噴劑可以隨時使用以改善鼻塞症狀","使用蒸氣吸入可以促進鼻竇引流","C",null,[],"本題考點是急性鼻竇炎的處置，錯誤敘述為 C。依鼻竇炎用藥原則，減充血鼻噴劑（如含 oxymetazoline 的血管收縮劑）連續使用不可超過 3–5 天，否則會產生「反彈性鼻充血（rhinitis medicamentosa，藥物性鼻炎）」使鼻塞惡化，故「可以隨時使用」的 C 敘述錯誤而為答案。A 細菌性鼻竇炎的抗生素療程須足量足時（常需 7–14 天）以徹底清除感染、避免抗藥性，正確；B 使用解熱鎮痛劑（如 acetaminophen）緩解發燒與疼痛，正確；D 蒸氣吸入可濕潤黏膜、稀釋分泌物、促進鼻竇引流，正確。","急性鼻竇炎多繼發於上呼吸道感染，鼻黏膜腫脹阻塞竇口引流而積膿。處置原則：促進引流（蒸氣吸入、生理食鹽水沖洗、多喝水）、緩解症狀（止痛退燒）、細菌性感染時足療程抗生素。減充血鼻噴劑的關鍵陷阱在於「使用天數限制」——短期用可迅速收縮血管、通暢鼻道，但超過 3–5 天會因受體去敏感化而反彈性充血、愈用愈塞、形成依賴，稱藥物性鼻炎。這與口服減充血劑（可能升血壓、失眠）的副作用不同，是護理衛教必考點。記憶重點：局部減充血劑「限用 3–5 天、不可隨時用」。",[24,26,28,31],{"term":25,"count":10},"反彈性鼻充血",{"term":27,"count":10},"抗生素足療程",{"term":29,"count":30},"急性鼻竇炎",1,{"term":32,"count":30},"減充血鼻噴劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-022","有關鼻咽癌病人接受放射線治療之護理指導，下列何者錯誤？",22,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-038","下列何者為細菌性肺炎病人必要的診斷檢查？①胸部電腦斷層 ②胸部 X 光攝影 ③肺功能檢查 ④痰液檢查",38,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-032","有關鞏皮症（進行性系統性硬化症，progressive system sclerosis）護理指導之敘述，下列何者錯誤？",32,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-030","有關感染後天免疫缺乏症候群（AIDS）之危險因子，下列敘述何者最不適當？",30,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-004","有關出血性腦中風病人的護理措施，下列何者正確？",4,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-medical-surgical-038","長春花鹼類（vinca alkaloids）藥物，如 vincristine，主要作用於細胞週期的那一期？",107,"2026-09-04",1788510747443]