[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-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-109-1-內外科護理學-035","nurse-109-1-medical-surgical-035",109,1,35,"當癌症病人出現下列何種血液檢驗數據時，要考慮停止化學治療？①白血球 1,500\u002FμL ②紅血球 500 萬\u002FμL ③血小板 11 萬\u002FμL ④絕對嗜中性球 1,000\u002FμL",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於化學治療期間骨髓抑制的停藥安全閾值。化療會抑制骨髓造血，當白血球或絕對嗜中性球（ANC）過低時感染風險大增須考慮停藥。①白血球1,500\u002FμL低於正常4,000～10,000屬白血球低下；④絕對嗜中性球1,000\u002FμL已達須警覺的嗜中性球低下界線（\u003C1,500偏低、\u003C500重度），感染風險升高，故①④須考慮停藥，選B。②紅血球500萬\u002FμL屬正常；③血小板11萬\u002FμL雖略低於15萬但仍遠高於停藥危險閾值（\u003C10萬才須留意）。故最須停藥的指標為①④。","化療劑量調整以骨髓功能為依據，最危險的是嗜中性球低下（neutropenia）導致的敗血症。ANC＝白血球×（節狀球％＋分葉球％）。臨床常以ANC\u003C1,500考慮延遲或減量、\u003C500為發燒性嗜中性球低下高危期須保護性隔離。血小板\u003C5萬易出血、\u003C2萬為自發性出血高危。記憶重點：化療停藥先看「白血球與ANC」與「血小板」兩大安全指標。",[24,27,29,31],{"term":25,"count":26},"化療骨髓抑制",2,{"term":28,"count":26},"白血球低下",{"term":30,"count":10},"絕對嗜中性球低下",{"term":32,"count":10},"停藥安全閾值",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-036","有關靜脈導管 Port-A 之敘述，下列何者正確？①放置 Port-A 人工血管，須採全身麻醉方式 ②Port-A 導管可由腋靜脈放置到鎖骨下靜脈 ③注射起泡性藥物時，應測試是否有回血 ④注射藥物時，使用一般空針 90 度插入，以免發生外滲",36,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-052","有關吸入性肺炎之臨床症狀，下列何者須立即處理？",52,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-066","有關接受經尿道前列腺切除術病人之護理指導，下列何者錯誤？",66,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-024","有關鼻咽癌病人接受放射線治療的敘述，下列何者錯誤？",24,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-medical-surgical-068","有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",68,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-032","王先生診斷肺癌接受放射線治療時，出現皮膚乾燥、發癢和脫皮情形，下列護理措施何者最適當？",32,113,3,"2026-09-04",1788510712623]