[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-115-2-內外科護理學-015","nurse-115-2-medical-surgical-015",115,2,15,"有關喉癌病人行全喉切除術後之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"永久性氣切造口會乾燥，可以直接滴入生理食鹽水","嗅覺和味覺不受影響，所以不會影響病人的食慾","經由語言復健可以訓練病人以食道語與他人溝通","為避免身體心像紊亂建議用防水敷料覆蓋氣切口","C",null,[],"本題考點是全喉切除術後的溝通重建與永久性氣切造口照護。依復健原理,全喉切除後聲帶已移除,無法以喉部振動發聲,但可訓練病人吞入空氣後由食道上段黏膜振動產生聲音,即食道語,故選 C。A 錯在直接把生理食鹽水滴入造口易引起嗆咳與感染,造口乾燥應以濕紗布覆蓋、使用加濕器提高吸入氣體濕度來處理。B 錯在氣流不再經鼻腔通過嗅覺受器,嗅覺明顯減弱並連帶影響味覺與食慾。D 錯在防水敷料會封住病人唯一的呼吸通道,造口只能覆蓋透氣紗布或圍兜,兼顧防塵美觀與呼吸通暢。","發聲重建三條路可一起記:食道語(需長期練習、音量較小)、電子喉(置於頸部或口內產生振動,學習最快)、氣管食道穿刺加發聲閥(以肺部氣流推動,音質最自然但需照顧瘻管與閥件)。造口照護的核心邏輯是上呼吸道被旁路掉,失去鼻腔加溫、加濕與過濾功能,因此需主動加濕、避免粉塵與冷空氣直吹、絕對不可游泳,淋浴需防水花進入造口。心理社會層面則涵蓋身體心像改變與溝通受限造成的社會退縮,護理焦點在提供替代溝通工具(紙筆、圖卡)與病友支持團體資源的可及性。",[24,27,29,32],{"term":25,"count":26},"全喉切除術",6,{"term":28,"count":10},"食道語",{"term":30,"count":31},"永久性氣切造口照護",1,{"term":33,"count":31},"嗅覺與味覺改變",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-2-medical-surgical-016","有關 B 型利鈉胜肽（B-type Natriuretic peptide）檢查的敘述，下列何者正確？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-106-1-medical-surgical-062","趙小姐有長期反覆性尿道感染的病史，健檢時發現有鹿角結石約 5 cm，下列敘述何者錯誤？",62,106,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-106-2-medical-surgical-076","有關登革熱之敘述，下列何者錯誤？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-108-1-medical-surgical-034","有關封閉式體內放射線治療之敘述，下列何者錯誤？",34,108,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-109-1-medical-surgical-078","有關過敏性休克的治療與護理指導，下列何者錯誤？",78,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-medical-surgical-032","有關僧帽瓣狹窄的臨床表徵，下列何者正確？",32,110,"2026-08-06",1787299037064]