[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-010":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":10},"nurse-115-2-內外科護理學-010","nurse-115-2-medical-surgical-010",115,2,10,"有關食道內視鏡檢查的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"檢查前無須禁食","檢查時可於喉部使用局部麻醉劑","檢查後吞嚥反射正常才可進食","檢查前 30 分鐘注射 atropine 以減少唾液分泌","A",null,[],"本題考點是上消化道(食道)內視鏡檢查的前後護理。依檢查原則,為避免嘔吐、吸入性肺炎並取得清晰視野,檢查前須禁食 6 至 8 小時,故錯誤敘述為 A。B 正確,於喉部噴灑或含漱局部麻醉劑可抑制咽反射、減少不適,方便鏡身通過。C 正確,局部麻醉會使吞嚥與咳嗽反射暫時消失,必須確認反射恢復(通常 1 至 2 小時後)才能進食飲水,否則食物與水易嗆入呼吸道。D 正確,抗膽鹼類藥物 atropine 可減少唾液與消化道分泌並抑制迷走神經反射,常於檢查前約 30 分鐘給予。","三段式整理:檢查前禁食、取下活動假牙與眼鏡、確認凝血功能與抗凝藥物使用、簽署同意書;檢查中採左側臥並使頭部略前傾以利口水自然流出;檢查後禁食至反射恢復、觀察咽喉不適與少量血絲(常見且短暫)。真正的併發症警訊是持續胸痛、頸部或胸壁皮下氣腫、吞嚥困難加劇、發燒與大量嘔血,代表可能穿孔或出血。藥理延伸:atropine 屬抗膽鹼藥,副作用為口乾、心跳加快、視力模糊與尿滯留,青光眼與攝護腺肥大病人需特別謹慎評估。",[24,26,29,31],{"term":25,"count":10},"檢查前禁食",{"term":27,"count":28},"上消化道內視鏡",1,{"term":30,"count":28},"咽反射恢復",{"term":32,"count":28},"atropine 抗膽鹼作用",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-011","有關病人因右側髖骨骨折接受全髖關節置換術之護理指導，下列敘述何者正確？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-medical-surgical-057","使用下列那一種肺結核治療藥物不需監測肝功能？",57,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-medical-surgical-071","有關尿崩症病人的出院護理指導，下列何者不適當？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-medical-surgical-029","能降低冠狀動脈疾病病人心肌耗氧量的藥物，下列何者錯誤？",29,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-medical-surgical-073","孕婦發生呼吸道梗塞的情況時，下列何種處置最適當？",73,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-027","有關高血壓病人服用 Propranolol（Inderal）的護理指導，下列何者正確？①需確認病人有無氣喘 ②服藥前宜先檢查心跳次數 ③副作用有低血鈉 ④副作用會造成脫水",27,110,"2026-08-06",1787299037028]