[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-107-1-基本護理學與護理行政-019","nurse-107-1-fundamental-nursing-019",107,1,19,"長期使用 Warfarin（Coumadin）的病人，下列措施何者不適宜？",{"A":15,"B":16,"C":17,"D":18},"鼓勵多攝取深綠色蔬菜","注射時，儘量選用較細的針頭","注射後需加強加壓注射部位","教導病人認識出血徵兆","A",null,[],"本題考點為口服抗凝血劑 Warfarin 病人的照護,問『不適宜』者。依藥理,Warfarin 為維生素 K 拮抗劑,透過抑制維生素 K 依賴凝血因子(II、VII、IX、X)發揮抗凝作用;深綠色蔬菜富含維生素 K,大量攝取會拮抗藥效、使抗凝不足、血栓風險升高,故『鼓勵多攝取深綠色蔬菜』不適宜,選 A(應維持穩定而非增量攝取)。B、C、D 皆適宜:選用較細針頭、注射後加強加壓可減少出血\u002F瘀血;教導辨識出血徵兆(牙齦出血、血尿、黑便、瘀斑)利於早期發現藥物過量。","機轉主軸:『維生素 K ↔ Warfarin 拮抗』。維生素 K 是合成凝血因子 II、VII、IX、X 的輔因子(記憶『1972』),Warfarin 抑制其循環還原,故富含維生素 K 的深綠蔬菜(菠菜、花椰菜、甘藍)會抵銷藥效——重點在『攝取量穩定一致』而非全面禁食或大量增加,避免 INR 劇烈波動。監測用 INR(治療範圍多為 2–3),過量的解毒劑為維生素 K,急性大出血則用凝血酶原複合體。出血徵兆衛教與減少侵入性出血(細針、加壓、避免肌注)構成安全用藥配套。",[25,28,30,32],{"term":26,"count":27},"INR 監測",2,{"term":29,"count":11},"Warfarin(維生素 K 拮抗劑)",{"term":31,"count":11},"維生素 K 依賴凝血因子(II、VII、IX、X)",{"term":33,"count":11},"出血徵兆與飲食一致性",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-fundamental-nursing-020","下列那一部位的不適症狀，可以用熱療法緩解其不適？",20,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-107-2-fundamental-nursing-036","有關體溫過低的症狀，下列敘述何者正確？",36,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-108-1-fundamental-nursing-050","吳女士，35 歲，卵巢癌末期，處於瀕死階段，病人意識清楚時曾簽署「預立安寧緩和醫療暨維生醫療抉擇意願書」，離婚後單親撫養一位 5 歲的兒子，病人為虔誠的基督徒，病人大姊為佛教徒，趕到醫院時情緒崩潰，要求醫師想辦法讓病人活下去，護理人員於臨終照護中的角色與功能，下列敘述何者正確？",50,108,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-2-fundamental-nursing-008","有關使用熱水袋之敘述，下列何者正確？",8,109,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-110-2-fundamental-nursing-052","接觸性隔離病人出院後，其病人單位與用物的處理，下列何者正確？",52,110,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-112-1-fundamental-nursing-006","有關舒適醫療環境之敘述，下列何者錯誤？",6,112,"2026-09-04",1788510701867]