[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-037","nurse-112-2-medical-surgical-037",112,2,37,"下列何項處置最能減緩因接受化學治療而發生口腔黏膜損傷所造成的疼痛？",{"A":14,"B":15,"C":16,"D":17},"暫時停止化學治療","監測病人的全血球計數","持續良好的口腔清潔","定期檢查口腔黏膜炎症狀與徵象","C",null,[],"本題考點為化學治療引起口腔黏膜炎（mucositis）疼痛的最有效處置。考點在於區分「預防／減緩損傷本身」與「監測評估」的層級：持續良好的口腔清潔可移除食物殘渣與細菌、降低續發感染與潰瘍惡化，直接減少黏膜損傷程度與疼痛，故正解為 C。A 暫停化療屬醫療決策且非減痛首選；B 監測全血球計數是評估骨髓抑制與感染風險，D 定期檢查黏膜炎徵象皆屬「評估監測」，能發現問題卻不直接減緩疼痛。護理措施中能主動改善黏膜狀態者才是減痛關鍵，故選 C。","化療性黏膜炎源於快速分裂的口腔上皮細胞受細胞毒性藥物破壞，黏膜屏障喪失後易併發感染與潰瘍。實證口腔照護包含使用軟毛牙刷、無酒精漱口水、生理食鹽水或碳酸氫鈉漱口，避免刺激性、過熱及辛辣食物。此題典型考『評估 vs 處置』的差異：監測與檢查是收集資料，真正的護理『介入』才能減緩症狀。可連結 WHO 黏膜炎分級（0–4 級）與白血球低下期的口腔感染防治複習。",[24,27,29],{"term":25,"count":26},"化療性口腔黏膜炎",1,{"term":28,"count":26},"口腔清潔照護",{"term":30,"count":26},"護理措施評估與介入區分",[32,36,41,45,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-2-medical-surgical-038","王小姐最喜歡吃速食，餐餐吃都不膩，最近出現口炎、吞嚥困難且指甲萎縮變薄呈湯匙狀，醫師告知為貧血，王小姐最有可能罹患那一種貧血？",38,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-113-1-medical-surgical-004","有關阿茲海默氏症之敘述，下列何者錯誤？",4,113,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-113-2-medical-surgical-048","有關心因性休克的敘述，下列何者正確？",48,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-114-3-medical-surgical-046","小明在登山途中不慎被一條青色的蛇咬傷，下列敘述何者最適當？",46,114,3,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-106-2-medical-surgical-020","有關全髖關節置換術病人出院之護理指導，下列何者正確？",20,106,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-107-2-medical-surgical-054","急性呼吸窘迫症候群病人使用呼氣末正壓（PEEP）的目的，下列何者正確？",54,107,"2026-09-04",1788510747581]