[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-1-內外科護理學-013","nurse-115-1-medical-surgical-013",115,1,13,"有關急性中耳炎的醫療處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抗生素的使用要持續3～5天","疼痛發燒可使用解熱鎮痛劑","鼓膜腫脹時可行鼓膜切開術（myringotomy）","使用減輕鼻充血藥物，幫助耳咽管功能恢復","A",null,[],"本題考點是急性中耳炎的治療原則與療程長度。依細菌性中耳炎的抗生素治療準則,中耳腔屬藥物穿透較差的封閉空間,療程需足夠才能根除致病菌並避免復發與抗藥性,教科書標準為持續約十至十四天,僅用三到五天屬療程不足,故 A 錯誤。B 正確:發炎造成中耳積液壓迫鼓膜引起疼痛與發燒,解熱鎮痛劑可緩解症狀。C 正確:鼓膜膨脹外突且疼痛劇烈時,鼓膜切開術可引流積液並降低自發性破裂風險。D 正確:減輕鼻充血藥物可改善耳咽管黏膜腫脹,恢復中耳通氣與引流。","小兒特別容易得急性中耳炎的解剖理由是耳咽管較短、較平、管徑較寬,鼻咽部的病原容易上行,這也是上呼吸道感染後常併發中耳炎的原因;平躺餵奶會增加逆流入耳咽管的機會。臨床觀察重點是耳痛、發燒、聽力下降與嬰幼兒抓耳哭鬧,耳鏡下鼓膜發紅膨凸、正常光錐消失。療程未完成而自行停藥的後果包括反覆中耳積液、傳導性聽力障礙、鼓膜穿孔,甚至中耳膽脂瘤與腦膜炎等併發症。延伸複習:漿液性中耳炎與中耳通氣管置放、傳導性與感覺神經性聽力障礙用 Rinne 與 Weber 試驗鑑別。",[24,27,29,31],{"term":25,"count":26},"耳咽管功能",2,{"term":28,"count":10},"急性中耳炎抗生素療程",{"term":30,"count":10},"鼓膜切開術",{"term":32,"count":10},"減鼻充血劑",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-medical-surgical-014","下列何種病毒與罹患鼻咽癌有關？",14,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-medical-surgical-010","有關消化性潰瘍常見用藥，下列何者錯誤？",10,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-medical-surgical-024","有關喉癌之敘述，下列何者錯誤？",24,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-medical-surgical-062","有關急性腎絲球腎炎病人之護理指導，下列何者正確？",62,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-026","心臟衰竭病人使用 Dopamine 6 ug\u002Fkg\u002Fmin，給予該劑量 Dopamine 之最主要目的為何？",26,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-060","當慢性阻塞性肺疾病（COPD）病人出現下列何種評估結果時，護理師須優先採取因應措施？",60,110,"2026-08-06",1787299088659]