[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-109-2-內外科護理學-042","nurse-109-2-medical-surgical-042",109,2,42,"真性紅血球增多症的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"眼結膜充血","臉色蒼白","皮膚發癢","頭痛","B",null,[],"本題考點是真性紅血球增多症（polycythemia vera）的臨床表徵，須找出「錯誤」項。考點在於辨識此病是骨髓紅血球過度增生使血球容積與血液黏稠度上升，故病人典型呈現「臉色紅潤（plethora）」而非蒼白，B敘述臉色蒼白與病理相反，屬錯誤。A正確，血量增加使眼結膜充血。C正確，皮膚搔癢是特徵性症狀，與嗜鹼球增加釋放組織胺、洗熱水後尤明顯有關。D正確，血液黏稠、腦部灌流受影響易致頭痛、頭暈。故唯一與病生理不符者為B臉色蒼白。","真性紅血球增多症屬骨髓增生性腫瘤，多帶JAK2 V617F突變，紅血球、白血球、血小板皆可增多，血比容（Hct）常>55%。核心問題是「血太稠」，故並發症以血栓（中風、心肌梗塞、深部靜脈栓塞）為主，出血則因血小板功能異常。臨床表徵記憶：紅（臉紅、結膜紅）、癢（水源性搔癢）、稠（頭痛頭暈、視力模糊、血栓）。治療含靜脈放血降低Hct、低劑量阿斯匹靈、必要時hydroxyurea。蒼白是「貧血」表現，正好相反。",[24,26,29,31],{"term":25,"count":10},"真性紅血球增多症",{"term":27,"count":28},"血液黏稠度增加",1,{"term":30,"count":28},"臉色紅潤plethora",{"term":32,"count":28},"水源性搔癢",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-043","有關癌症治療對口腔黏膜之影響與處置，下列敘述何者正確？",43,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-medical-surgical-059","病人的動脈血氧分析結果 PaO 2 值為 50 mmHg，此病人 PaO 2 的判讀及處置，下列何者正確？",59,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-medical-surgical-073","王先生，58 歲，罹患糖尿病 2 年，藉由口服抗血糖藥物、飲食與運動控制血糖，今日在家昏倒救護車送入急診，心跳 118 次／分，血壓 85\u002F50 mmHg，呼吸速率 20 次／分，血糖為 650 mg\u002FdL。下列何者為最可能之診斷？",73,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-112-1-medical-surgical-031","靜脈注射不當造成血管紅、腫、痛是屬於下列何種血管問題？",31,112,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",25,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-medical-surgical-019","有關心律去顫整流術（defibrillation）之敘述，下列何者錯誤？",19,114,"2026-09-04",1788510716667]