[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-054","nurse-112-2-medical-surgical-054",112,2,54,"葉先生為 COPD 病人，醫囑為：fenoterol（Berotec）2 puffs INHA BID，下列何者表示其使用正確？",{"A":14,"B":15,"C":16,"D":17},"使用前不應搖晃瓶身","連續按壓兩次噴霧劑然後吸入藥物","吸藥後閉氣 10 秒鐘再緩慢吐氣","使用完後應立即漱口","C",null,[],"本題考點為定量噴霧吸入劑（MDI）如 fenoterol（Berotec）的正確使用衛教。考點在於吸入技巧：按壓噴藥並深吸後應閉氣約 10 秒，讓藥物沉積於下呼吸道再緩慢吐氣，故正解為 C。A 錯誤，使用前應充分搖勻瓶身使藥物均勻；B 錯誤，應一次按壓一劑、配合吸氣，兩劑之間需間隔，不應連續按壓兩次一起吸；D 錯誤，fenoterol 為支氣管擴張劑，非吸入型類固醇，使用後不需特別漱口（漱口主要針對吸入性類固醇以防口腔念珠菌），故選 C。","MDI 正確步驟：搖勻→吐氣→含住咬嘴或使用吸藥輔助器（spacer）→按壓同時緩慢深吸→閉氣約 10 秒→緩慢吐氣→若需第二劑間隔約 1 分鐘。閉氣目的是延長藥物在肺內沉降時間以增加下呼吸道吸收。使用後漱口的衛教專屬吸入型皮質類固醇（如 fluticasone），用以預防口咽念珠菌感染與聲音沙啞；fenoterol 屬短效乙型交感神經興奮劑（SABA）支氣管擴張劑，不需此步驟。記憶『搖勻、慢吸、閉氣十秒』。",[24,27,29,31],{"term":25,"count":26},"定量噴霧吸入劑MDI使用技巧",1,{"term":28,"count":26},"fenoterol支氣管擴張劑",{"term":30,"count":26},"閉氣10秒",{"term":32,"count":26},"類固醇才需使用後漱口",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-055","陳女士是氣喘病人，過去四週內發生：日間出現氣喘症狀每週一次、因氣喘在夜間醒來兩次、日常活動未因氣喘受影響、需要使用藥物緩解症狀每週超過兩次。依照 GINA（Global Initiative for Asthma, 2019）對氣喘控制程度，其屬於下列何者？",55,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-medical-surgical-021","針對接受trastuzumab（Herceptin®）治療的癌症病人之護理，下列何者正確？①靜脈滴注給藥 ②空腹口服給藥 ③監測丘疹、手足症候群 ④監測心臟功能",21,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-015","下列檢查結果，何者可診斷為糖尿病？",15,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-medical-surgical-013","有關急性中耳炎的醫療處置，下列何者錯誤？",13,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-037","有關缺鐵性貧血口服鐵劑護理措施的敘述，下列何者錯誤？",37,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-071","救護車送入一位昏迷病人，心跳 120 次\u002F分，血壓 85\u002F50 mmHg，呼吸速率 35 次\u002F分，呼吸有一股很濃的腐壞水果味，血糖為 600 mg\u002FdL。下列何者為其最可能之診斷？",71,107,"2026-09-04",1788510747741]