[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-045":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-107-2-內外科護理學-045","nurse-107-2-medical-surgical-045",107,2,45,"關於瀰漫性血管內凝血病人的敘述，下列何者代表護理師需要重新指導預防出血的方法？",{"A":14,"B":15,"C":16,"D":17},"可以用力解便","可以使用電鬍刀刮鬍子","不要用力咳嗽及擤鼻涕","不用牙線，使用軟毛牙刷刷牙","A",null,[],"本題考點是瀰漫性血管內凝血(DIC)病人預防出血的衛教查核。DIC 凝血因子與血小板大量消耗,極易出血,任何增加腹壓的用力動作都可能誘發出血,病人若回答『可以用力解便』代表衛教理解錯誤、需重新指導,故選 A。(B)使用電鬍刀避免刀片割傷,是正確觀念;(C)不用力咳嗽擤鼻涕以免黏膜出血,正確;(D)用軟毛牙刷、不用牙線防牙齦出血,正確。","DIC 是凝血過度活化耗盡凝血因子與血小板,同時纖溶亢進,呈『先血栓後出血』的矛盾狀態。預防出血護理:軟毛牙刷、電鬍刀、避免用力(解便、咳嗽、擤鼻)、避免侵入性處置、給軟便劑防便秘。實驗值:PT 與 aPTT 延長、血小板下降、纖維蛋白原下降、D-dimer 上升。",[24,27,30,32],{"term":25,"count":26},"瀰漫性血管內凝血",3,{"term":28,"count":29},"預防出血",1,{"term":31,"count":29},"用力解便",{"term":33,"count":29},"出血傾向護理",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-046","有關疥瘡的敘述，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-medical-surgical-062","有關病人血清鉀為 7.0 mEq\u002FL 之處置，下列何者錯誤？",62,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-medical-surgical-076","有關食物中毒之敘述，下列何者錯誤？",76,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-medical-surgical-034","決定心搏出量（stroke volume）的要素，下列何者錯誤？",34,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-medical-surgical-078","有關敗血症之敘述，下列何者錯誤？",78,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-medical-surgical-032","有關靜脈曲張之護理指導，下列敘述何者正確？",32,112,"2026-09-04",1788510725297]