[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-114-1-內外科護理學-026","nurse-114-1-medical-surgical-026",114,1,26,"有關致癌因子及其相關癌症的敘述，下列何者需進一步提供護理指導以澄清誤解？",{"A":14,"B":15,"C":16,"D":17},"「我看你還是少吃點檳榔吧，不然口腔癌可能會找上你喔」","「平時喝酒適量即可，過量可能會導致肝癌、乳癌、食道癌的發生」","「我老公平時是油漆工，聽說長時間接觸那些苯胺染料，可能和膀胱癌的發生有關」","「上次我去看醫師，他跟我說我有幽門螺旋桿菌，可能和食道癌的發生有關」","D",null,[],"本題考點在於致癌因子與對應癌症的正確配對，屬反向題，須找出需澄清誤解的錯誤衛教。依流行病學實證：檳榔與口腔癌（A）、過量飲酒與肝癌乳癌食道癌（B）、苯胺染料職業暴露與膀胱癌（C）之關聯皆有明確證據，衛教內容正確。D將幽門螺旋桿菌連結到食道癌則屬錯誤觀念，幽門螺旋桿菌感染主要與胃癌及胃黏膜相關淋巴組織淋巴瘤相關，而非食道癌，故此敘述需進一步澄清誤解，為本題答案。","幽門螺旋桿菌被列為第一類致癌物，機轉是長期慢性胃炎導致腸上皮化生、異生而演變為胃腺癌，並與胃MALT淋巴瘤高度相關；有趣的是其對食道腺癌反而可能具保護性。食道癌的主因是菸、酒、檳榔與胃食道逆流。辨題訣竅：把每個致癌物對應到「目標器官」建表記憶，錯配即為需澄清的迷思。",[24,27,29,31,33],{"term":25,"count":26},"幽門螺旋桿菌",6,{"term":28,"count":10},"胃癌",{"term":30,"count":10},"致癌因子配對",{"term":32,"count":10},"職業性膀胱癌",{"term":34,"count":10},"檳榔口腔癌",[36,40,45,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-027","有關帶狀疱疹臨床症狀之敘述，下列何者正確？",27,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-114-3-medical-surgical-023","服用排鉀利尿劑的高血壓病人，出現肌肉無力、心悸等症狀，下列護理措施何者最不適當？",23,3,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-115-2-medical-surgical-017","心臟衰竭功能性分級第 4 級（NYHA Fc IV），最可能出現下列何種活動功能限制？",17,115,2,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-1-medical-surgical-005","江小姐因頸椎滑脫須使用床頭式骨骼牽引 Gardner-Wells Tongs traction 讓頸椎復位，下列敘述何者正確？",5,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-1-medical-surgical-049","有關全身性紅斑性狼瘡的護理措施，下列何者錯誤？",49,108,{"webId":62,"stem":63,"number":44,"year":64,"session":50},"nurse-109-2-medical-surgical-003","有關慢性硬膜下出血（chronic subdural hematoma；chronic SDH）之敘述，下列何者正確？",109,"2026-09-04",1788510757408]