[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-107-2-內外科護理學-029","nurse-107-2-medical-surgical-029",107,2,29,"有關心肌梗塞使用 aspirin 之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"緩解心肌梗塞造成的胸痛","降低心肌需氧量","避免血小板凝集而產生血栓","溶解冠狀動脈內之血栓","C",null,[],"本題考點是 aspirin 在心肌梗塞的作用機轉。依藥理學,aspirin 不可逆抑制血小板環氧化酶(COX-1),阻斷血栓素 A₂(TXA₂)生成而抑制血小板凝集,防止冠狀動脈血栓進一步形成,故選 C。(A)緩解胸痛是嗎啡、硝酸甘油的作用;(B)降低心肌需氧量是β阻斷劑的作用;(D)溶解既已形成的血栓是血栓溶解劑(如 streptokinase、t-PA)的作用,aspirin 只能抗血小板凝集、不能溶栓。","急性心肌梗塞用藥口訣 MONA-B:Morphine、Oxygen、Nitroglycerin、Aspirin、β-blocker。aspirin 抗血小板(抑 TXA₂),clopidogrel 抑 ADP 受體,兩者合為雙抗;血栓溶解劑才能溶解已形成血栓,但有出血禁忌與時間窗限制。aspirin 低劑量即達抗血小板效果。",[24,27,30,32,34],{"term":25,"count":26},"心肌梗塞",5,{"term":28,"count":29},"抗血小板",4,{"term":31,"count":10},"aspirin",{"term":33,"count":10},"血栓素A2",{"term":35,"count":36},"環氧化酶",1,[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-107-2-medical-surgical-030","有關心絞痛病人使用硝酸甘油之護理指導，下列何者錯誤？",30,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"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":46,"session":10},"nurse-108-2-medical-surgical-060","教導慢性阻塞性肺疾病病人採用橫膈式呼吸之預期效果，下列何者正確？",60,{"webId":52,"stem":53,"number":54,"year":55,"session":36},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",18,110,{"webId":57,"stem":58,"number":59,"year":60,"session":36},"nurse-111-1-medical-surgical-062","承上題，下列何項為林小姐接下來的重要處理目標？",62,111,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-2-medical-surgical-016","有關食道癌的病因，下列何者正確？",16,112,"2026-09-04",1788510725142]