[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-022":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-113-3-內外科護理學-022","nurse-113-3-medical-surgical-022",113,3,22,"一位正在接受胸壁放射治療的復發性乳癌病人表示：「吞嚥時感到疼痛，胸口有灼熱及緊繃感」。下列何者是病人因放射線治療導致最可能的結果？",{"A":14,"B":15,"C":16,"D":17},"肺炎","食道裂孔疝氣","胃炎","食道炎","D",null,[],"本題考點在於胸部放射治療的併發症辨識。復發性乳癌病人接受胸壁放射治療,照野涵蓋鄰近食道,放射線引起食道黏膜發炎,典型表現為吞嚥疼痛、胸口灼熱與緊繃感,最可能結果為放射性食道炎,故選 D。A 放射性肺炎表現為咳嗽、呼吸困難、發燒,而非吞嚥痛;B 食道裂孔疝氣為解剖結構異常,與放射治療無直接因果;C 胃炎位置在胃部,與胸壁放射照野及吞嚥時症狀不符。病人症狀集中於「吞嚥時」與「胸口」,直接指向食道受損。本題屬放療併發症辨識題。","放射性食道炎機轉:食道黏膜為快速分裂細胞,對放射線敏感,受照後黏膜發炎、糜爛,吞嚥時疼痛灼熱。護理:軟質溫和飲食、避免刺激性(過熱、辛辣、酸、酒精),必要時黏膜保護劑或局部止痛。相對地放射性肺炎影響肺實質(乾咳喘)。辨題關鍵:依「症狀部位+誘發時機」對應受影響器官——吞嚥痛+胸口灼熱=食道。",[24,27,29,31],{"term":25,"count":26},"放射性食道炎",1,{"term":28,"count":26},"胸壁放射治療",{"term":30,"count":26},"吞嚥疼痛",{"term":32,"count":26},"黏膜快速分裂細胞",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-023","有關體液容積過量之檢驗結果，下列敘述何者正確？①血比容下降 ②血尿素氮下降 ③血漿滲透壓上升 ④血鈉上升",23,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-medical-surgical-019","有關心律去顫整流術（defibrillation）之敘述，下列何者錯誤？",19,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-medical-surgical-013","有關急性中耳炎的醫療處置，下列何者錯誤？",13,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-medical-surgical-031","心肌梗塞後病人所出現的心電圖變化，下列何者一旦出現最有可能永遠不會消失？",31,106,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-107-2-medical-surgical-075","有關甲狀腺機能亢進症之臨床表徵，下列何者錯誤？",75,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-medical-surgical-029","有關冠狀動脈疾病病人接受鉈-201 之檢查目的，下列何者正確？",29,109,"2026-09-04",1788510752653]