[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-015","nurse-113-1-medical-surgical-015",113,1,15,"有關鼻竇炎病人的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"鼻竇炎是因鼻竇內黏膜發炎所造成","慢性鼻竇炎症狀消退後，即可停用抗生素","使用鼻滴劑時，可採用坐姿，頭向後仰","使用鼻滴劑時，避免過量，以防引起反彈效果","B",null,[],"本題考點在於鼻竇炎的病生理與居家用藥指導,屬反向題,須找出錯誤敘述。慢性鼻竇炎多為細菌感染,抗生素須完成足量療程(通常2~4週),不可症狀一消退就自行停藥,否則易復發並誘導抗藥性,故錯誤敘述為B。A正確,鼻竇炎確為鼻竇黏膜發炎所致;C正確,滴鼻劑採坐姿頭後仰可使藥液順鼻腔流向鼻竇開口;D正確,血管收縮性滴鼻劑過量或使用超過3~5天會產生反彈性鼻充血(rebound congestion),故須節制。","反彈性鼻充血(rhinitis medicamentosa)是局部去充血劑如oxymetazoline濫用的典型後果:黏膜血管長期受刺激後對藥物去敏感,停藥反而更腫。記憶重點:抗生素「療程走完才停」、去充血滴劑「短天期用」。慢性鼻竇炎的抗生素需涵蓋常見致病菌(肺炎鏈球菌、流感嗜血桿菌)。",[24,27,29,31],{"term":25,"count":26},"鼻竇炎",2,{"term":28,"count":26},"抗生素療程",{"term":30,"count":26},"反彈性鼻充血",{"term":32,"count":10},"滴鼻劑姿勢",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-016","有關心肌炎病人的護理指導，下列何者不適宜？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-012","承上題，有關此類病人的護理措施，下列何者最適宜？",12,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-006","有關膽囊炎病人的護理評估及照護，下列何者正確？",6,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-048","有關急性溶血性輸血反應之症狀，下列何者最不可能出現？",48,107,{"webId":59,"stem":60,"number":26,"year":61,"session":26},"nurse-108-2-medical-surgical-002","李先生是建築工人，近日因椎間盤突出入院行腰椎椎板切除術，護理師提供之術後護理指導，下列何者正確？",108,"2026-09-04",1788510750352]