[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-107-2-內外科護理學-066","nurse-107-2-medical-surgical-066",107,2,66,"梁先生每週一、三、五下午 1 點至 5 點接受血液透析，因腎性貧血服用維生素 C 與葉酸，其服用時間下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"中午 12 點與中餐一起服用","下午 1 點開始透析時服用","下午 3 點透析中服用","下午 5 點透析結束時服用","D",null,[],"本題考點在血液透析病人服用水溶性維生素的時機。依藥物動力學,維生素 C 與葉酸皆為水溶性、分子小,會在透析過程中被透析膜清除流失,若於透析前或透析中服用,藥物會隨透析被移除而失去療效;故應於透析結束後服用,選 D(下午 5 點透析結束時)。選項 A 中午 12 點與 B 下午 1 點開始透析時服用,藥物於透析期間被移除;選項 C 下午 3 點透析進行中服用,同樣被清除。梁先生下午 1 至 5 點透析,結束時間為 5 點,故此時補充才能保留藥效。","血液透析會清除小分子與水溶性物質,包括水溶性維生素(B 群、C、葉酸)與部分藥物,因此透析病人常需在透析後補充這些維生素。相對地,脂溶性維生素較不受影響。給藥原則:凡易被透析清除的藥物或營養素,安排於透析結束後給予;某些降壓藥則可能因此需在透析後補服。口訣:水溶性維生素會被洗掉,透析後再補。",[24,27,30,32],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"水溶性維生素清除",1,{"term":31,"count":29},"維生素 C 與葉酸",{"term":33,"count":29},"透析後給藥",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-067","有關血液透析不平衡症候群之敘述，下列何者正確？",67,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-medical-surgical-003","腦腫瘤病人進行外科手術移除腫瘤後，顱內壓仍非常高，下列何種方式可以協助降低顱內壓？",3,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-medical-surgical-017","有關退化性關節炎的敘述，下列何者正確？",17,109,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-1-medical-surgical-055","下列何者不是闌尾炎的徵象？",55,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-019","王先生接受右側全髖關節置換術後出現胸痛、呼吸短促、皮膚蒼白、冰冷。下列何者是王先生最可能產生的術後合併症？",19,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-053","王先生胸壁受到鈍傷入院求治，下列何者表示可能有肺挫傷的情形？",53,112,"2026-09-04",1788510725482]