[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-1-內外科護理學-024","nurse-113-1-medical-surgical-024",113,1,24,"病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",{"A":14,"B":15,"C":16,"D":17},"可能為熱反應，注射後給予0.9% N\u002FS及dexamethasone","懷疑是藥物外滲時，停止注射以原針頭回抽藥物","墊高注射部位且局部避免加壓","評估為藥物外滲則可給予溫熱敷","D",null,[],"本題考點在於化療藥doxorubicin外滲(extravasation)的緊急處置,屬反向題,須找出不適當者。Doxorubicin是發泡性(vesicant)藥物,外滲會造成組織壞死,處置原則是冷敷使血管收縮、局限藥物擴散,故對其外滲給予溫熱敷會加速擴散與傷害,並不適當,選D。A適當,若為過敏熱反應可給N\u002FS與類固醇;B適當,懷疑外滲應立即停止並以原針回抽殘餘藥液;C適當,墊高患肢促回流、避免加壓以防藥物擴散。","多數發泡性化療藥(anthracycline類)外滲採冷敷;但少數例外如vinca生物鹼(vincristine)反而用溫敷,兩者機轉相反,常是考點陷阱。Doxorubicin亦有累積性心臟毒性與尿液變紅的特性。外滲處置口訣:停藥、回抽、拔管、冷敷、抬高、通報。",[24,27,30,32],{"term":25,"count":26},"抬高患肢",6,{"term":28,"count":29},"藥物外滲",2,{"term":31,"count":10},"doxorubicin",{"term":33,"count":10},"發泡性藥物冷敷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-medical-surgical-021","有關化學藥品 vincristine（Oncovin ® ）輸注之藥物準備過程，下列何者不適當？",21,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-2-medical-surgical-015","病人左耳聽力正常，右耳有聽力障礙，以韋伯試驗（Weber test）發現右耳比較大聲，再以任內試驗（Rinne test）發現左耳空氣傳導＞骨傳導、右耳空氣傳導≦骨傳導，下列何者是病人右耳最可能的病變位置？ ①外耳 ②中耳 ③內耳 ④耳蝸神經",15,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-013","有關因 B、C 型肝炎感染後導致肝硬化之類型，下列何者正確？",13,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-057","有關協助肺心症病人清除呼吸道分泌物之措施，下列何者錯誤？",57,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-2-medical-surgical-011","病人抽出腹水 1,500 mL 後，可能出現下列何種徵象？",11,108,"2026-09-04",1788510750424]