[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":62},"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-028","nurse-112-3-medical-surgical-028",112,3,28,"有關頭頸部放射治療對口腔造成的影響，下列處置何者正確？",{"A":14,"B":15,"C":16,"D":17},"採高纖飲食訓練口頰肌肉，以避免牙關緊閉","整天持續配戴活動假牙，以避免齒齦萎縮後不合口","nystatin（Mycostatin ® ）含漱後吞服治療細菌感染","四級口腔黏膜炎可規律給予全身性止痛劑緩解","D",null,[],"本題考點在於頭頸部放射治療引起口腔黏膜炎及相關併發症的處置。D四級口腔黏膜炎屬最嚴重、疼痛劇烈,可規律給予全身性止痛劑緩解疼痛,正確。A錯在避免牙關緊閉應以張口運動訓練咀嚼肌,高纖飲食粗糙反而磨損脆弱黏膜。B錯在活動假牙應取下,持續配戴會摩擦受損黏膜、增加潰瘍。C錯在nystatin(Mycostatin)為抗黴菌藥,用於口腔念珠菌感染而非細菌感染。故選D。","口腔黏膜炎分級:一級紅斑、二級斑塊性潰瘍尚可進食、三級融合性潰瘍需流質、四級組織壞死無法進食需鎮痛與營養支持。放療口腔照護核心為「保濕、清潔(軟毛或棉棒、避免含酒精漱口水)、止痛、營養」,並預防放射性口乾與齲齒。",[24,27,29],{"term":25,"count":26},"放射治療副作用",1,{"term":28,"count":26},"口腔黏膜炎分級",{"term":30,"count":26},"nystatin(抗黴菌藥)",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-3-medical-surgical-029","病人因住宅火警遭燒傷，身體後背部、右後上肢、左後上肢及左右臀部燒傷，以蘭德—布諾得（Lund & Browder）方法計算燒傷範圍，下列何者正確？",29,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-113-2-medical-surgical-025","承上題，有關陳小弟接受化學治療的護理指導，下列何者正確？",25,113,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-114-1-medical-surgical-019","有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",19,114,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-115-2-medical-surgical-017","心臟衰竭功能性分級第 4 級（NYHA Fc IV），最可能出現下列何種活動功能限制？",17,115,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-107-1-medical-surgical-011","有關潰瘍性結腸炎與區域性結腸炎之比較，下列何者錯誤？",11,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-108-1-medical-surgical-045","有關生殖器疱疹的敘述，下列何者錯誤？",45,108,"2026-09-04",1788510745013]