[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-113-2-內外科護理學-018","nurse-113-2-medical-surgical-018",113,2,18,"有關心房纖維顫動臨床處置之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可採頸動脈竇按摩，使心跳變慢","可使用去纖維震顫術，使心跳恢復規則","可裝設植入式自動心律轉換去顫器，改善心悸症狀","可服用鈉離子通道阻斷劑，降低心跳","D",null,[],"本題考點在於心房纖維顫動(Af)的處置原則。依抗心律不整藥理,節律控制可用鈉離子通道阻斷劑(Class I,如 Flecainide\u002FPropafenone)或搭配控制心室反應率的藥物來穩定心跳,故 D 相對正確為答案。A 錯,頸動脈竇按摩用於陣發性室上性心搏過速(PSVT)的迷走神經刺激,對 Af 不適用。B 錯,治療 Af 的電擊應為「同步心臟整流術(cardioversion)」,而去纖維震顫術(defibrillation,非同步)是用於心室顫動\u002F無脈性室速。C 錯,植入式去顫器(ICD)用於致命性室性心律不整,並非用來改善 Af 的心悸。整體以藥理分類與電治療適應症辨識。","Af 治療兩大策略:節律控制(抗心律不整藥、同步整流)與速率控制(β 阻斷劑、鈣通道阻斷劑、Digoxin),並依 CHA₂DS₂-VASc 評估中風風險給抗凝。同步整流避開 T 波以免誘發心室顫動,與非同步去顫不同。記憶:PSVT 按頸動脈竇、VF 用非同步去顫、Af 首重抗凝與速率控制。",[24,26,29,31],{"term":25,"count":10},"心房纖維顫動",{"term":27,"count":28},"鈉離子通道阻斷劑 Class I",1,{"term":30,"count":28},"同步整流與非同步去顫之別",{"term":32,"count":28},"頸動脈竇按摩用於 PSVT",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-019","下列何者不是骨質疏鬆症之危險因素？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-medical-surgical-015","有關扁桃腺炎（tonsilitis）病人接受扁桃腺切除術之敘述，下列何者錯誤？",15,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-009","有關肝癌，下列敘述何者最不適當？",9,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-medical-surgical-057","使用下列那一種肺結核治療藥物不需監測肝功能？",57,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-021","下列何者為預防上石膏肢體肌肉力量變差之運動？",21,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-055","右肺葉切除術後病人的姿勢擺位，下列何者最適當？",55,108,"2026-09-04",1788510755015]