[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-107-2-內外科護理學-039","nurse-107-2-medical-surgical-039",107,2,39,"有關白血病檢查與治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"嗜中性白血球是免疫力的指標","化學治療是主要的治療方式","可將化學藥物直接注入骨髓以預防中樞神經系統受侵犯","化學治療後兩週左右，白血球會降到最低","C",null,[],"本題考點是白血病中樞神經預防性治療的給藥途徑。血腦障壁使一般化療藥不易進入中樞神經,故 CNS 預防須採『鞘內注射』(intrathecal,注入腦脊髓液),而非注入骨髓,選項 C 敘述錯誤,故選 C。(A)嗜中性白血球為對抗細菌的第一線、是免疫力指標,正確;(B)化學治療是白血病主要治療方式,正確;(D)化療後約兩週白血球降至最低點(nadir),正確。","白血病細胞易躲入中樞神經(血腦障壁庇護所),故需鞘內注射 methotrexate 或 cytarabine、或顱部放療做 CNS 預防。嗜中性白血球絕對數(ANC)小於 500 屬嚴重感染風險,需保護隔離。化療 nadir 約 7 至 14 天,是感染與出血高峰期。骨髓穿刺是診斷用途,非給藥途徑。",[24,26,29,31,33],{"term":25,"count":10},"鞘內注射",{"term":27,"count":28},"白血病",1,{"term":30,"count":28},"中樞神經預防",{"term":32,"count":28},"嗜中性白血球",{"term":34,"count":28},"化療低點",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-medical-surgical-040","一位 82 歲的老太太，因為癌症末期接受安寧療護，下列何者為護理目標？",40,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-108-1-medical-surgical-056","有關呼吸性酸中毒之敘述，下列何者正確？",56,108,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-108-2-medical-surgical-070","長期口服或注射類固醇病人最可能出現的副作用，下列何者正確？",70,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-110-1-medical-surgical-028","下列何者最可能為腹主動脈瘤病人的病史或身體檢查與評估的結果？",28,110,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-111-1-medical-surgical-072","有關糖化血紅素（HbA1c）的敘述，下列何者正確？",72,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-026","有關心肌病變臨床表徵之敘述，下列何者錯誤？",26,112,"2026-09-04",1788510725244]