[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-022":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-112-2-內外科護理學-022","nurse-112-2-medical-surgical-022",112,2,22,"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？",{"A":14,"B":15,"C":16,"D":17},"避免冰敷或熱敷治療部位皮膚","用含酒精漱口水以保持口腔清潔","治療期間宜多作張口及咀嚼運動","可以多增加水分攝取","B",null,[],"本題考點是鼻咽癌放射線治療期間的口腔黏膜照護，錯誤敘述為 B。依放射治療對黏膜的影響，頭頸部放療會造成口腔黏膜炎與唾液腺受損（口乾），黏膜脆弱易破，含酒精的漱口水會刺激、乾燥並灼傷已受損黏膜，加重疼痛與潰瘍，故 B 敘述錯誤而為答案，應改用不含酒精的溫和漱口水或生理食鹽水漱口。A 治療部位皮膚（放射性皮膚炎）應避免冰敷、熱敷與摩擦刺激，正確；C 多做張口與咀嚼運動可預防顳顎關節與咀嚼肌因放療纖維化而牙關緊閉（trismus），正確；D 多攝取水分以緩解口乾、維持黏膜濕潤，正確。","頭頸部放射治療的常見副作用需整體掌握：口腔黏膜炎、口乾（唾液腺損傷）、味覺改變、放射性皮膚炎、張口困難（咀嚼肌與顳顎關節纖維化）、以及後期的放射性齲齒與骨壞死（尤其下頜骨）。口腔照護核心：使用「不含酒精」的漱口水或生理食鹽水頻繁漱口、軟毛牙刷、避免辛辣過熱與粗糙食物、保持濕潤。放療前應先完成牙科評估與治療以降低放射性骨壞死風險。皮膚照護：保持乾爽、避免陽光、摩擦、冰熱敷與刺激性用品。張口運動預防牙關緊閉是頭頸放療特有的復健重點，呼應 C 的正確性。",[24,27,29,31],{"term":25,"count":26},"口腔黏膜炎",3,{"term":28,"count":10},"鼻咽癌放射治療",{"term":30,"count":10},"避免含酒精漱口水",{"term":32,"count":33},"放療副作用照護",1,[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-023","有關喉癌術後放置永久性喉切除管（Laryngectomy tube）病人的出院護理指導，下列何者不適宜？",23,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-112-3-medical-surgical-039","慢性腎臟病第四期病人解血尿懷疑是腎臟結石，下列診斷檢查何者最適當？",39,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-033","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",33,113,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-3-medical-surgical-031","有關急性支氣管炎，下列敘述何者最適當？",31,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-005","有關巴金森氏症病人服用 levodopa 藥物之護理指導，下列何者正確？①補充維生素 B 6 以促進藥物吸收 ②補充高蛋白飲食以增加藥物效果 ③可能會出現舞蹈症或不自主運動 ④長期使用會出現 on-off 反應",5,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-medical-surgical-039","有關白血病檢查與治療之敘述，下列何者錯誤？",107,"2026-09-04",1788510747447]