[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-108-1-內外科護理學-035","nurse-108-1-medical-surgical-035",108,1,35,"汪小姐，血小板數目為 40,000\u002Fmm 3 ，下列敘述何者正確？①非常容易引起自發性出血 ②避免使用 Aspirin 或 Heparin ③肌肉注射的給藥方式最佳 ④給與軟便藥物可減少排便腸黏膜受傷",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","C",null,[],"本題考點為血小板低下（40,000\u002Fmm³）病人的護理判斷。依出血風險原則，②應避免使用Aspirin或Heparin以免加重出血傾向、④給予軟便劑可避免用力排便造成腸黏膜或痔靜脈破損，兩者正確，故選C。①血小板約40,000尚未達「非常容易自發性出血」程度（自發性出血多在低於20,000時），敘述過度；③血小板低下應避免肌肉注射以防血腫，故「肌肉注射最佳」錯誤。故正確組合為②④。","血小板數與出血風險分層：大於50,000一般手術多安全；20,000～50,000創傷或侵入處置易出血；小於20,000有自發性出血風險；小於10,000恐自發性顱內出血。護理重點：避免肌肉注射、避免抗血小板與抗凝藥、軟便防出力、使用軟毛牙刷與電動刮鬍刀。記憶：血小板低就「處處防碰撞破皮」。",[24,27,29,31],{"term":25,"count":26},"血小板低下",3,{"term":28,"count":10},"出血風險分層",{"term":30,"count":10},"肌肉注射禁忌",{"term":32,"count":10},"軟便劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-036","與乳癌有關的腫瘤標記，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-medical-surgical-052","肺栓塞病人使用肝素以阻止新的血塊形成，通常須維持部分凝血活酶時間（aPTT）為正常值的多少倍？",52,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-medical-surgical-066","有關高滲透壓高血糖狀態（HHS）之敘述，下列何者正確？",66,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-medical-surgical-024","有關視網膜剝離病人的術後護理措施，下列何者錯誤？",24,110,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-111-2-medical-surgical-068","有關甲狀腺風暴的敘述，下列何者錯誤？",68,111,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-112-3-medical-surgical-022","有關冠狀動脈繞道手術後護理，下列敘述何者錯誤？",22,112,"2026-09-04",1788510709807]