[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-048":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-109-1-內外科護理學-048","nurse-109-1-medical-surgical-048",109,1,48,"有關肺栓塞病人之護理處置，下列敘述何者最正確？",{"A":14,"B":15,"C":16,"D":17},"教導病人應多食用青花椰菜、甘藍、菠菜等","教導病人坐姿時，應避免翹二郎腿或交叉雙腿","教導病人胸痛時，可服用 NTG 緩解疼痛","教導病人使用誘發性肺量計（incentive spirometry），增進肺部血流","B",null,[],"本題考點為肺栓塞(pulmonary embolism)病人的護理指導。肺栓塞多源自下肢深部靜脈血栓脫落,預防重點在減少靜脈血液鬱積,故教導避免翹二郎腿或交叉雙腿以維持靜脈回流,B最正確。A鼓勵多食青花椰菜、甘藍、菠菜等富含維生素K蔬菜,會拮抗warfarin抗凝效果,不宜大量攝取;C硝化甘油NTG用於心絞痛擴張冠狀動脈,對肺栓塞胸痛無療效;D誘發性肺量計是增進肺泡擴張與通氣、預防肺塌陷,並非增進肺部血流,敘述機轉錯誤,故最正確者為B。","抗凝治療(warfarin)須維持INR穩定,飲食中維生素K波動會干擾療效,故衛教重點是「攝取量穩定」而非全避。靜脈栓塞成因為Virchow三角:血流鬱滯、內皮損傷、高凝狀態,交叉雙腿正踩「血流鬱滯」。誘發性肺量計改善的是通氣而非灌流,勿混淆兩者作用。",[24,27,30,32],{"term":25,"count":26},"肺栓塞",9,{"term":28,"count":29},"誘發性肺量計",2,{"term":31,"count":10},"靜脈血液鬱積",{"term":33,"count":10},"warfarin與維生素K",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-049","有關氣喘病人使用糖皮質類固醇吸入劑（glucocorticoid inhaled medication）之護理指導，下列何者正確？",49,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-medical-surgical-065","腎臟肌酸酐清除率（CCr）正常值範圍是多少 mL\u002Fmin？",65,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-079","有關休克初期身體啟動之正常代償機轉，下列何者錯誤？",79,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-medical-surgical-037","有關癌症病人口腔黏膜障礙照護的敘述，下列何者正確？ ①使用含類固醇的口內膏，可緩解疼痛和發炎 ②Nystatin 可預防白色念珠菌感染，漱口後要吐掉不可吞服 ③病人對苦味的敏感度減少，故可以吃苦瓜和芥菜，補充纖維素 ④使用口香糖可維持口腔濕潤",37,111,{"webId":54,"stem":55,"number":10,"year":56,"session":57},"nurse-112-3-medical-surgical-001","陳先生因車禍造成頸椎第 5～6 節完全損傷，已度過脊髓休克期，目前進行膀胱訓練，下列敘述何者正確？ ①屬於痙攣型神經性膀胱 ②只要薦神經受到刺激，即會反射排尿 ③可以利用 Crede’s method 以手握拳，壓在膀胱，協助排空 ④當自解：餘尿量＝2：1，且餘尿小於 100 mL 表示膀胱訓練成功",112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":57},"nurse-113-3-medical-surgical-045","有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",45,113,"2026-09-04",1788510712755]