[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-016":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-112-3-內外科護理學-016","nurse-112-3-medical-surgical-016",112,3,16,"有關全喉切除術後的護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"術後頸部應採過度伸張姿勢","術後第 3 天可教導病人開始吞嚥","不鼓勵咳出痰液，呼吸道分泌物一律從氣切口抽吸","術後約 2～4 週可開始進行語言復健","D",null,[],"本題考點在於全喉切除術後的護理指導與復健時程。依全喉切除術後照護，傷口癒合後約 2～4 週可開始進行語言復健（如食道語、電子喉或氣管食道發聲），故選 D。判斷關鍵是語言復健待傷口穩定後才開始。A 錯誤，術後頸部應維持中立或輕微屈曲以減少傷口張力，而非過度伸張。B 錯誤，術後須待傷口癒合、通常不會在第 3 天即開始吞嚥訓練，過早吞嚥恐影響傷口。C 錯誤，仍應鼓勵病人有效咳嗽排痰、由氣切造口抽吸為輔，並非一律禁止咳痰、全靠抽吸。","全喉切除後上呼吸道與消化道永久分離，病人須經永久性氣管造口呼吸，喪失原有發聲功能。發聲復健方式包括食道語（吞入空氣再逆流振動）、氣管食道穿刺發聲（TEP）與人工電子喉，通常待傷口癒合、約術後數週開始訓練。照護重點還包括造口清潔與濕潤、防止異物與水進入造口、營養支持與心理調適，並教導緊急時如何從造口而非口鼻求救。",[24,27,30,33],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":29},"食道語",2,{"term":31,"count":32},"語言復健",1,{"term":34,"count":32},"氣管造口",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-medical-surgical-017","有關慢性鼻竇炎的原因，下列何者正確？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-113-2-medical-surgical-013","病人接受白內障囊外摘除術後之護理指導，下列何者最適當？ ①用力咳嗽 ②彎腰洗頭 ③預防便秘 ④避免提重物",13,113,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-114-1-medical-surgical-007","有關大腸癌的高危險因子，下列敘述何者正確？",7,114,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-115-2-medical-surgical-005","當腦瘤病人出現噴射性嘔吐時，腫瘤最可能壓迫到下列那一個部位？",5,115,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",79,106,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-108-1-medical-surgical-033","放射線治療對下列何類細胞的治療效果較差？",33,108,"2026-09-04",1788510744901]