[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-029","nurse-112-3-medical-surgical-029",112,3,29,"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？",{"A":14,"B":15,"C":16,"D":17},"27%","32%","36%","45%","B","第29題一律給分",[],"本題考點是Lund & Browder(蘭德—布諾得)燒傷體表面積估算法。此法依『年齡』校正各體表分區百分比,比九則計算法(rule of nines)精確,差異主要在頭部與下肢隨年齡改變。本題燒傷區為後軀幹(背)、右後上肢、左後上肢及左右臀部,須依成人L&B分區表逐格相加:後軀幹約13%、左右臀部合計約5%,再加計兩側上肢後側對應分格,總和為官方答案32%,故選B。此屬圖表逐區加總題,須對照年齡別L&B表逐格相加、不可以九則法概估;A、C、D為分區或加總錯誤之結果。","本題本質是依賴標準分區對照表的計算題,我無法在此重繪整張年齡校正表,故據實標低把握度,僅說明方法與官方結果,不臆造各分格精確數字。方法對比:九則法把成人身體切成11塊9%(頭9、各上肢9、軀幹前後各18、各下肢18、會陰1),快速但粗略;L&B把身體切得更細並按年齡調整頭與腿的占比,例如成人頭較小、腿較大,幼兒相反。實務上估算後可搭配Parkland公式(4 mL×體重kg×%TBSA)計算前24小時輸液量,前半於8小時內給予——這也是燒傷面積題常延伸的下一步考點。",[24,27,29,31],{"term":25,"count":26},"Lund & Browder分區法",1,{"term":28,"count":26},"燒傷體表面積百分比",{"term":30,"count":26},"年齡校正",{"term":32,"count":26},"九則計算法對比",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-030","承上題，病人體重 65 公斤，其靜脈液體補充，依據帕克蘭公式（Parkland formula）24 小時內的第一個 8 小時應給予多少液體？",30,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-026","有關癌症病人使用干擾素治療之敘述，下列何者正確？",26,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-medical-surgical-020","有關靜脈剝除結紮手術（stripping and ligation）術後照護之敘述，下列何者錯誤？",20,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-018","有關急性心肌梗塞後病人的運動原則，下列敘述何者錯誤？",18,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-medical-surgical-012","有關促使食道下括約肌壓力降低之物質，下列何者錯誤？",12,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-medical-surgical-046","有關燒傷病人接受自體移植後出院之護理指導，下列何者錯誤？",46,108,"2026-09-04",1788510745020]