[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-107-1-內外科護理學-015","nurse-107-1-medical-surgical-015",107,1,15,"有關肝癌病人接受動脈栓塞療法（Transcatheter Arterial Embolization, TAE）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"不需平躺可立即下床活動","副作用為發燒，於術後需監測體溫","由動脈注入化學藥物以堵住肝門靜脈","適用於所有肝癌之病人","B",null,[],"本題考點為肝癌動脈栓塞療法(TAE)的照護與原理。依栓塞後腫瘤組織缺血壞死會引發栓塞後症候群，發燒、疼痛與噁心為常見副作用，術後須監測體溫，故B正確。A由於經股動脈穿刺，術後須平躺並壓迫穿刺處以防出血，不可立即下床，錯;C肝細胞癌主要由肝動脈供血，TAE 是栓塞「肝動脈」而非堵住肝門靜脈，且注入的是栓塞物合併化療藥，錯;D TAE 有肝功能、腫瘤範圍等適應條件，並非適用所有肝癌病人，錯。","TAE\u002FTACE 的治療邏輯建立在肝臟雙重血流:正常肝細胞主要靠肝門靜脈供血,而肝癌腫瘤約 90% 靠肝動脈供血。栓塞肝動脈可餓死腫瘤又相對保留正常肝組織,TACE 更同時灌注化療藥再栓塞。栓塞後症候群(發燒、右上腹痛、噁心)源於腫瘤壞死釋放發炎介質,多為自限性。護理重點:經股動脈者術後臥床平躺、患肢伸直、加壓止血、監測遠端脈搏與穿刺處出血,並觀察肝功能。禁忌含嚴重肝衰竭、門靜脈栓塞、大量腹水。",[24,27,29,31],{"term":25,"count":26},"栓塞後症候群",2,{"term":28,"count":10},"肝動脈栓塞療法 TAE",{"term":30,"count":10},"肝癌肝動脈供血",{"term":32,"count":10},"股動脈穿刺術後照護",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-016","急性心肌梗塞最典型的臨床表徵，下列何者正確？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-medical-surgical-032","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心臟衰竭。護理師助張先生作身體檢查與評估時，下列何項檢查因心臟衰竭而可能會有陽性反應發現？",32,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-046","有關燒傷病人接受自體移植後出院之護理指導，下列何者錯誤？",46,108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-2-medical-surgical-004","有關顱內腫瘤壓迫對視覺的影響，下列何者錯誤？",4,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-2-medical-surgical-048","有關後天免疫缺乏症候群（acquired immunodeficiency syndrome, AIDS）病人出院護理指導的敘述，下列何者錯誤？",48,110,{"webId":58,"stem":59,"number":26,"year":60,"session":10},"nurse-112-1-medical-surgical-002","與阿茲海默症病人的溝通技巧，下列何者不適宜？",112,"2026-09-04",1788510702556]