[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-109-1-內外科護理學-012","nurse-109-1-medical-surgical-012",109,1,12,"有關黃疸之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"溶血性黃疸是肝硬化所致","肝細胞性黃疸之白血球數增多","阻塞性黃疸之凝血酶原時間延長","上述三種黃疸尿膽紅素皆增加","C",null,[],"本題考點在於三類黃疸的病生理與檢驗特徵。阻塞性(膽汁滯留性)黃疸因膽汁排出受阻,影響脂溶性維生素 K 吸收,使凝血因子合成減少,導致凝血酶原時間(PT)延長,故 C 正確。溶血性黃疸源於紅血球過度破壞、間接膽紅素上升,與肝硬化無直接因果(A 錯誤);肝細胞性黃疸的異常在肝功能指標,白血球數並不因此增多(B 錯誤);溶血性黃疸的間接膽紅素為非水溶性、不會經尿液排出,故尿膽紅素不增加,並非三種黃疸皆增加(D 錯誤)。考點在於連結膽汁滯留、維生素 K 與凝血功能的關係。","黃疸依機轉分三類:溶血前性(紅血球破壞多,間接\u002F非結合膽紅素升高,因非水溶性不入尿,尿膽紅素陰性)、肝細胞性(肝細胞受損,直接與間接膽紅素皆升)、阻塞後性(膽汁排出受阻,直接\u002F結合膽紅素升,尿膽紅素陽性、糞便灰白)。阻塞性因膽鹽無法進腸道,脂溶性維生素 A、D、E、K 吸收不良,K 缺乏使凝血因子 II、VII、IX、X 合成下降、PT 延長。記憶主線:膽阻→脂溶維生素 K 吸收差→凝血變差。",[24,27,30,32],{"term":25,"count":26},"阻塞性黃疸",3,{"term":28,"count":29},"黃疸分類",2,{"term":31,"count":29},"膽紅素代謝",{"term":33,"count":10},"維生素 K 與凝血酶原時間",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-013","有關風濕熱之敘述，下列何者正確？①最常侵犯三尖瓣 ②須使用抗生素治療 ③應多從事體能活動以強化心臟功能 ④若有心衰竭症狀須採低鹽飲食",13,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",29,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-043","有關骨髓抑制病人之敘述，下列何者錯誤？",43,110,{"webId":49,"stem":50,"number":10,"year":51,"session":29},"nurse-111-2-medical-surgical-001","有關頭部外傷病人顱內壓升高的照護，下列何者錯誤？",111,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-112-2-medical-surgical-045","有關電燒傷所造成的身體損傷，下列敘述何者正確？",45,112,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-113-3-medical-surgical-009","有關副甲狀腺功能亢進之敘述，下列何者正確？",9,113,"2026-09-04",1788510712409]