[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"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-110-1-內外科護理學-039","nurse-110-1-medical-surgical-039",110,1,39,"有關血小板減少症照護的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"病人可使用非類固醇抗發炎之止痛藥物","教導病人使用牙線代替牙籤","教導病人避免做閉氣用力的動作","鼻黏膜乾燥不適，不可塗抹凡士林","C",null,[],"本題考點為血小板減少症病人的照護原則。考點在於預防出血，避免使腹內壓與顱內壓驟升的閉氣用力（Valsalva 動作），可降低自發性出血與顱內出血風險，故 C 正確。A 錯在藥物，非類固醇抗發炎藥會抑制血小板功能、延長出血，應避免。B 錯在口腔照護，牙線可能造成牙齦出血，宜改用軟毛牙刷，不建議以牙線取代牙籤。D 錯在鼻黏膜護理，鼻黏膜乾燥時可塗抹凡士林保持濕潤以減少黏膜破損出血，並非不可塗抹。","血小板減少出血風險分層：\u003C50,000\u002FμL 手術或創傷易出血、\u003C20,000\u002FμL 有自發性出血風險、\u003C10,000\u002FμL 顱內等重大自發出血高危。照護核心＝防出血：避免 NSAID／阿斯匹靈與抗凝劑、軟毛牙刷、電動刮鬍刀、避免 Valsalva 與便祕用力、避免肌肉注射與侵入操作、環境去尖銳物。記憶：不用力、不抗凝、不刺穿、多濕潤。凡士林潤鼻與軟毛牙刷都是減少黏膜出血的細節。",[24,27,30,33,35],{"term":25,"count":26},"Valsalva動作",4,{"term":28,"count":29},"非類固醇抗發炎藥",3,{"term":31,"count":32},"血小板減少症",2,{"term":34,"count":32},"出血預防",{"term":36,"count":10},"黏膜保護",[38,42,46,51,56,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-1-medical-surgical-040","有關預防乳癌病人術後淋巴水腫的照護，下列敘述何者正確？",40,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-110-2-medical-surgical-056","有關肋膜積水進行放液時，若一次超過 1,200 c.c.，可能會發生下列何種現象？",56,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-111-1-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）之臨床表徵，下列何者錯誤？",70,111,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-112-2-medical-surgical-028","有關心肌梗塞急性期的治療，下列敘述何者正確？①從鼻套管給 10 L\u002Fmin 氧氣 ②給予麻醉性止痛劑止痛，如 morphine ③給予血栓溶解劑治療 ④給予抗凝血劑治療 ⑤補充維生素 K",28,112,{"webId":57,"stem":58,"number":32,"year":59,"session":29},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",113,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-114-3-medical-surgical-046","小明在登山途中不慎被一條青色的蛇咬傷，下列敘述何者最適當？",46,114,"2026-09-04",1788510721136]