[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-022":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":26},"nurse-114-2-內外科護理學-022","nurse-114-2-medical-surgical-022",114,2,22,"正在接受 sorafenib（Nexavar）治療的癌症病人表示：「服藥後手掌和腳掌都出現脫皮、龜裂、刺痛情形，怎麼會這樣呢？」，下列護理指導何者正確？①洗手時不用力搓洗，穿著寬鬆舒適鞋子 ②可塗擦尿素乳膏或凡士林在患部後穿襪就寢 ③外出須戴帽撐傘防曬，但不可以擦防曬乳 ④皮膚乾癢不適時應給與冰敷或熱敷緩解症狀",{"A":14,"B":15,"C":16,"D":17},"①②","③④","①③","②④","A",null,[],"本題考點在於 sorafenib(Nexavar)引起手足症候群(hand-foot syndrome)的護理指導。依皮膚保護原則,正確組合為①②,選 A。①正確,洗手不用力搓洗、穿寬鬆舒適鞋子可減少摩擦與壓力對患部的刺激。②正確,塗抹尿素乳膏或凡士林保濕、患部軟化後穿襪就寢有助修復乾裂皮膚。③錯誤,外出防曬正確,但「不可擦防曬乳」錯誤,應可使用防曬乳保護敏感皮膚。④錯誤,皮膚乾癢不應冰敷或熱敷,極端溫度會加重刺激與損傷。","手足症候群機轉:標靶藥抑制血管新生,使手掌腳掌高壓摩擦部位微血管修復受阻,出現紅腫、脫皮、龜裂、感覺異常。護理核心=「減壓、保濕、避刺激」:避免壓迫摩擦、勤擦潤膚劑、避免高溫燙洗與冰熱刺激。與傳統化療的落髮、骨髓抑制不同,這是酪胺酸激酶抑制劑常見的皮膚毒性,分級可能需減量。",[24,27,29,31],{"term":25,"count":26},"sorafenib",1,{"term":28,"count":26},"手足症候群",{"term":30,"count":26},"皮膚保濕護理",{"term":32,"count":26},"標靶治療皮膚毒性",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-023","王小華熱愛打籃球，最近剛被確診為血友病，下列護理指導何者不適當？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-115-1-medical-surgical-019","有關心因性休克護理重點之敘述，下列何者錯誤？",19,115,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"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":49,"stem":50,"number":51,"year":52,"session":26},"nurse-107-1-medical-surgical-051","有關急性呼吸窘迫症候群（ARDS）的診斷標準，下列何者正確？",51,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-015","有關左側脛骨骨折病人使用柺杖之護理指導，下列何者錯誤？",15,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-049","有關照護愛滋病人防護措施之敘述，下列何者正確？",49,109,"2026-09-04",1788510759663]