[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-045":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-045","nurse-106-2-medical-surgical-045",106,2,45,"有關燒傷傷口臨床表徵的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"表淺部分皮層燒傷部位會有水泡形成，中重度疼痛","四度燒傷傷口呈現乾燥、焦黑、中重度疼痛","深二度燒傷傷口皮膚呈現粉紅色、紅腫、劇烈疼痛","三度燒傷傷口皮膚乾燥、受壓不會變蒼白、皮革狀焦痂","D",null,[],"本題考點為燒傷深度分級的臨床表徵鑑別。三度(全層)燒傷破壞整層表皮與真皮含神經末梢,傷口呈乾燥、皮革狀焦痂,受壓不變蒼白(微血管充填消失),且因神經受損反而痛覺遲鈍,D 描述完全符合,選 D。A 表淺部分皮層(淺二度)確有水泡,但其疼痛應為劇烈而非「中重度」,描述偏差;B 四度燒傷傷及肌肉骨骼,焦黑無痛感,『中重度疼痛』錯誤;C 深二度傷口通常較蒼白、濕潤、微血管充填延遲,而『粉紅色、紅腫、劇烈疼痛』較符合淺二度而非深二度。故選 D。",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？",6,1783840737244]