[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-042","nurse-112-2-medical-surgical-042",112,2,42,"有關癌症疼痛處置之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"脊椎硬膜外注入止痛藥物後，病人要平躺 6～8 小時","病人自控式止痛法可減少藥量使用，延長用藥間隔時間","冷熱療法會降低疼痛的閾值而減輕疼痛","冷療法要持續使用不可間斷，以免降低效果","B",null,[],"本題考點為癌症疼痛處置的正確原則。考點在於病人自控式止痛法（PCA）的設計優勢：透過設定安全劑量與鎖定時間由病人依需求給藥，可維持穩定血中濃度、減少總藥量並延長有效止痛間隔，故正解為 B。A 錯誤，硬膜外注藥後並非固定平躺 6～8 小時，且與此原則描述不符；C 錯誤，冷熱療是提高疼痛閾值而非降低才能減痛，敘述矛盾；D 錯誤，冷療須間歇使用以免凍傷與反射性血管擴張，持續不間斷反有害，故選 B。","PCA（patient-controlled analgesia）藉由設定單次劑量（bolus）、鎖定時間（lockout interval）與背景輸注，讓病人在疼痛出現時即時追加，避免傳統定時給藥的血中濃度谷值造成的突發痛，並因總體用量精準而減少過量風險。疼痛閾值指引發痛覺的最低刺激強度，閾值『提高』代表較不易感到痛，故冷熱療應是提高閾值。冷療須間歇（如 20 分鐘）以防組織凍傷。可連結 WHO 三階梯止痛與非藥物疼痛控制一併複習。",[24,27,29,31],{"term":25,"count":26},"病人自控式止痛PCA",1,{"term":28,"count":26},"疼痛閾值",{"term":30,"count":26},"冷熱療法原則",{"term":32,"count":26},"癌症疼痛控制",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-043","有關原發性皮膚病變之敘述，下列何者正確？",43,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-medical-surgical-009","有關膽道疾病的敘述，下列何者錯誤？",9,113,{"webId":44,"stem":45,"number":46,"year":42,"session":46},"nurse-113-3-medical-surgical-003","墨菲氏徵象（Murphy’s sign）陽性是下列何種疾病的常見特徵？",3,{"webId":48,"stem":49,"number":26,"year":50,"session":26},"nurse-115-1-medical-surgical-001","陳先生T3～T5脊髓損傷，目前血壓250\u002F140 mmHg，心跳50～55次／分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象？",115,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-106-2-medical-surgical-025","李先生 75 歲由家人送至急診室，主訴有胸悶、噁心、呼吸困難情形，外觀臉色蒼白、情緒顯焦慮，下列護理措施何者不適宜？",25,106,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-107-2-medical-surgical-059","有關預防尿路結石復發的護理指導，下列何者正確？",59,107,"2026-09-04",1788510747644]