[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-046":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-114-3-內外科護理學-046","nurse-114-3-medical-surgical-046",114,3,46,"小明在登山途中不慎被一條青色的蛇咬傷，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"辨識蛇的形狀及顏色，並去除身上會影響血循的物品","割開傷口，並以嘴吸出毒液","以酒精消毒咬傷之傷口，並給予傷口冰敷","盡力把蛇打死，帶到急診室以辨別是否為毒蛇","A",null,[],"本題考點在於毒蛇咬傷的正確急救原則。正解A:記住蛇的形狀與顏色有助後續判斷是否為毒蛇與選用抗蛇毒血清,並儘速移除戒指、手錶等會影響肢體血液循環的物品,以免患肢腫脹後造成壓迫,故最適當。B錯誤,切開傷口並以口吸出毒液不僅無效,還會擴大傷口、增加感染並使施救者中毒,已不建議;C錯誤,傷口不應冰敷,冰敷會使局部血管收縮加重組織壞死,酒精消毒也非首要;D錯誤,不需費力打死蛇並帶回,以免延誤送醫與遭受二次咬傷,拍照辨識即可。故選A。","現代蛇咬處置:保持冷靜、限制患肢活動並置於低於心臟高度(減緩毒液擴散)、移除飾物與束縛、標記腫脹進展與時間、儘速送醫施打抗蛇毒血清。禁忌:切開吸吮、冰敷、酒精、上止血帶阻斷動脈。台灣常見毒蛇分出血性(龜殼花、赤尾青竹絲、百步蛇)與神經性(眼鏡蛇、雨傘節)等。記憶:「記樣貌、去束縛、少動、快送醫」。",[24,27,29,31],{"term":25,"count":26},"毒蛇咬傷急救",1,{"term":28,"count":26},"移除束縛物",{"term":30,"count":26},"患肢處理",{"term":32,"count":26},"抗蛇毒血清",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-medical-surgical-047","病人誤食含有機磷成分的巴拉松農藥，導致噁心、嘔吐、淚流不止、口水跟痰液很多，送入急診，下列敘述何者最適當？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-medical-surgical-043","有關抗利尿不當症候群（SIADH）的臨床表徵，下列何者正確？①血鈉 128 mEq\u002FL ②尿鈉 40 mEq\u002FL ③尿比重 1.050 ④血漿滲透壓 350 mOsmo\u002Fkg ⑤尿液滲透壓 50 mOsmo\u002Fkg",43,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-106-2-medical-surgical-007","有關叢性頭痛（cluster headaches）之敘述，下列何者錯誤？",7,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-medical-surgical-045","關於瀰漫性血管內凝血病人的敘述，下列何者代表護理師需要重新指導預防出血的方法？",45,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-1-medical-surgical-009","有關肛門瘻管手術治療後常見的併發症，下列何者正確？①出血 ②腹股溝疝氣 ③瘻管復發 ④解便失禁",9,109,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-medical-surgical-043","有關骨髓抑制病人之敘述，下列何者錯誤？",110,"2026-09-04",1788510762232]