[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-023":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-023","nurse-112-2-medical-surgical-023",112,2,23,"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？",{"A":14,"B":15,"C":16,"D":17},"每天以濕毛巾清潔造口周圍皮膚","坐起或翻身時需以手托後頸，避免頸部過度伸張","咳嗽或打噴嚏時，用手帕蓋住造口處，另一手掩住嘴巴","鼓勵採用固定於牆上的壁掛式淋浴設備","D",null,[],"本題考點是全喉切除術後永久性氣管造口病人的居家安全衛教，不適宜的是 D。依喉切除後的呼吸道解剖改變，病人的呼吸完全經由頸部氣管造口進行，上呼吸道與口鼻不再相通，因此造口絕不可進水，否則水直接灌入氣管造成嗆咳甚至溺水危險；壁掛式固定於牆上的淋浴設備水流會朝向身體與頸部造口，難以避開，故 D 不適宜而為答案（應改用手持式蓮蓬頭、避開造口，或以造口護罩防護）。A 每日清潔造口周圍皮膚，正確；B 移動時以手托後頸避免頸部過度伸張以保護造口與傷口，正確；C 咳嗽或打噴嚏時分泌物由造口噴出，需以手帕蓋住造口（不是只掩嘴），正確。","全喉切除後解剖生理發生根本改變：喉部連同會厭與聲帶切除，氣管被永久縫合於頸部皮膚形成造口，呼吸道與消化道完全分離，口鼻不再參與呼吸，也失去鼻腔對吸入空氣的加溫、加濕與過濾功能。居家安全三大重點：一是「造口防水」——洗澡改用手持蓮蓬頭並避開造口或戴護罩、游泳絕對禁止；二是「氣道濕化與清潔」——因失去鼻腔功能需額外加濕、避免粉塵；三是「發聲重建」——藉食道語、氣管食道發聲瓣或電子喉溝通。緊急時心肺復甦的人工呼吸須對造口施行而非口鼻。理解「呼吸改道」這一核心，衛教各項邏輯自然貫通。",[24,27,29,32],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":10},"永久性氣管造口",{"term":30,"count":31},"造口防水",1,{"term":33,"count":31},"呼吸道改道衛教",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-024","有關美尼爾氏症候群的症狀，下列何者錯誤？",24,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-040","有關腎臟功能血液檢查，下列敘述何者正確？",40,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-034","王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",34,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-medical-surgical-032","60 歲病人，右胸疼痛、發燒、呼吸喘，且咳嗽有大量黃綠色痰液，診斷右肺大葉性肺炎入院。下列何者為其最可能出現的身體評估檢查結果？①右胸觸覺震顫感增強 ②叩診右胸為過度反響音 ③聽診右胸出現喘鳴音 ④右胸支氣管語音字音響亮清楚",32,114,{"webId":55,"stem":56,"number":26,"year":57,"session":10},"nurse-106-2-medical-surgical-006","評估大腦各葉與腦幹功能常用之診斷檢查，下列何者正確？",106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-medical-surgical-040","一位 82 歲的老太太，因為癌症末期接受安寧療護，下列何者為護理目標？",107,"2026-09-04",1788510747456]