[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-1-內外科護理學-021","nurse-114-1-medical-surgical-021",114,1,21,"正在接受體外放射線治療的癌症病人表示：「臉和頸部的皮膚發紅刺痛、脫屑，甚至有些部位會濕濕的，很不舒服」，下列處置何者正確？",{"A":14,"B":15,"C":16,"D":17},"清水洗淨後塗擦凡士林保濕","可局部溫濕敷以緩解不適症狀","0.9% N\u002FS沖洗後以親水敷料（DuoDerm）覆蓋","刮鬍子時用刮鬍膏潤滑刮鬍刀以免刮傷","C",null,[],"本題考點是放射線治療皮膚反應中『濕性脫皮(moist desquamation)』的照護。題幹描述臉頸發紅、刺痛、脫屑且『濕濕的』,屬濕性脫皮期。A錯,凡士林等油性製劑會在照野形成增積(bolus)效應、可能增加皮膚受量,不建議塗抹。B錯,照射部位不宜溫熱敷,熱會加重皮膚傷害。C正確,濕性脫皮宜以0.9%生理食鹽水(N\u002FS)輕柔沖洗後,覆以親水性敷料(DuoDerm\u002Fhydrocolloid)保護傷口、維持濕潤癒合。D錯,放療部位應避免刮鬍摩擦刺激、改用電動刮鬍刀,濕刮易刮傷。故選C。","放射性皮膚炎分級記憶:紅斑(erythema)→乾性脫皮(dry desquamation,脫屑乾癢)→濕性脫皮(moist desquamation,表皮剝離、滲液)→潰瘍\u002F壞死。照護原則貫穿:溫和(溫水輕拍不搓)、乾爽或依分期選敷料、避刺激(避熱、避冰、避酒精\u002F碘酒、避黏性膠帶直貼照野、避日曬與摩擦、穿寬鬆棉質)、避金屬\u002F油性製劑影響劑量。濕性脫皮期關鍵轉折是『從保持乾燥轉為濕潤傷口照護』——生理食鹽水清潔+親水敷料促進濕潤癒合,這正是C的立論基礎。本題四個選項恰好對映四個常見錯誤(凡士林、熱敷、濕刮),辨識分期即能鎖定C。",[24,26,28,30],{"term":25,"count":10},"放射性皮膚炎分級",{"term":27,"count":10},"濕性脫皮照護",{"term":29,"count":10},"親水敷料hydrocolloid",{"term":31,"count":10},"放療部位避油性避熱",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-medical-surgical-022","顆粒性白血球低下的癌症病人之食物選擇，下列何者最適切？",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-medical-surgical-018","病人因身體多處不明原因出血進行骨髓抽吸檢查，下列敘述何者最適當？①檢查目的在了解骨髓組織、造血組織是否正常 ②可診斷是否為白血病 ③大多由脛骨進行抽取 ④大多需全身麻醉進行",18,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-medical-surgical-012","有關輔具使用之敘述，下列何者錯誤？",12,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-106-2-medical-surgical-080","有關體溫過低病人採取回溫措施期間的支持性處置，下列何者錯誤？",80,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-044","有關蜂窩性組織炎的敘述，下列何者正確？",44,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-medical-surgical-078","有關過敏性休克的治療與護理指導，下列何者錯誤？",78,109,"2026-09-04",1788510757359]