[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-106-2-內外科護理學-043","nurse-106-2-medical-surgical-043",106,2,43,"有關嚴重燒傷病人急性期的疼痛處置，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"morphine 4 mg IV every 5 minutes","morphine 10 mg IM q4H","meperidine 50 mg PO q4H","fentanyl citrate（Duragesic）75 mcg patch q3D","A",null,[],"本題考點為嚴重燒傷急性期的疼痛給藥途徑選擇。急性期因大量體液滲漏與周邊循環不良,肌肉與皮下組織灌流差,IM 或 PO 給藥吸收不穩、藥效延遲且可能在循環恢復後突然大量吸收造成過量,故止痛應採靜脈注射(IV)並小劑量、短間隔滴定。A morphine 4 mg IV 可快速起效並依疼痛反覆評估調整,符合急性期原則,選 A。B morphine IM 因灌流不良吸收不可靠;C meperidine PO 口服吸收更不可靠且其代謝物 normeperidine 有神經毒性不宜久用;D fentanyl 貼片是長效穩態給藥,適合慢性穩定疼痛而非急性劇痛的快速控制。故選 A。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":28,"stem":29,"number":10,"year":9,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840737236]