[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-079","nurse-112-2-medical-surgical-079",112,2,79,"有關嚴重特殊傳染性肺炎 COVID-19 之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"無休克證據，仍應給予大量輸液治療","常規性給予全身性皮質類固醇","避免使用 Nebulizer 等氣霧式治療","常規使用高流量鼻導管（High-flow Nasal Oxygen, HFNO）給氧","C",null,[],"本題考點在 COVID-19 的正確護理措施。依感染控制原則，噴霧治療(Nebulizer)等氣霧式治療會產生大量帶病毒氣溶膠，增加飛沫核擴散與醫護感染風險，故應避免使用,選 C。A 在無休克證據時應採保守輸液策略而非大量輸液，以免加重肺水腫,錯誤。B 全身性皮質類固醇僅建議用於需氧氣或呼吸支持的重症者，並非常規對所有病人給予,錯誤。D 高流量鼻導管(HFNO)同樣屬產生氣溶膠的處置，需在負壓環境與嚴格防護下審慎使用，非常規使用,錯誤。故唯 C 正確。","COVID-19 護理的兩大主軸是感染控制與支持性治療。凡產生氣溶膠的處置(AGP:噴霧治療、HFNO、非侵襲性正壓通氣、插管、氣管內抽痰)都須負壓隔離、N95 以上防護並儘量減少。輸液採保守策略避免 ARDS 惡化。類固醇(如 dexamethasone)只對需氧療的中重症有益,輕症無氧氣需求者不建議。記憶「會噴出氣霧的都是高風險處置」。可連結 ARDS 照護、俯臥通氣與個人防護裝備分級複習。",[24,27,29,31,33],{"term":25,"count":26},"COVID-19 護理",1,{"term":28,"count":26},"避免氣溶膠處置",{"term":30,"count":26},"噴霧治療風險",{"term":32,"count":26},"保守輸液",{"term":34,"count":26},"類固醇限重症",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-080","有關流感併發重症的敘述，下列何者錯誤？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-113-1-medical-surgical-046","有關甲狀腺機能亢進病人服用飽和碘化鉀溶液之敘述，下列何者正確？",46,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-medical-surgical-040","有關良性前列腺肥大之症狀與導因，下列何者正確？",40,3,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-115-1-medical-surgical-038","有關感染性膀胱炎導因之敘述，下列何者最不適當？",38,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-medical-surgical-062","正常成年人，若膀胱容積壓力正常，最大尿流速低於下列何者即顯示尿道出口有阻塞現象？",62,106,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-108-1-medical-surgical-016","有關痔瘡出血手術後之護理措施，下列何者不適當？",16,108,"2026-09-04",1788510747967]