[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-043","nurse-110-1-medical-surgical-043",110,1,43,"有關骨髓抑制病人之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"絕對嗜中性白血球下降容易導致感染","血小板低於 50,000\u002FμL 容易引起自發性出血","絕對嗜中性白血球低於 500\u002FμL 要採取保護隔離","血紅素過低可補充紅血球濃厚液","B",null,[],"本題考點為骨髓抑制病人的照護判斷，題目要選「錯誤」者。考點在於自發性出血的血小板閾值，自發性出血通常在血小板低於約 20,000\u002FμL 時才明顯出現，血小板低於 50,000\u002FμL 多為手術或創傷後易出血而非自發性出血，故 B 敘述錯誤。A 絕對嗜中性白血球下降使防禦力降低而易感染，正確。C 絕對嗜中性白血球低於 500\u002FμL 屬嚴重嗜中性白血球低下，須採保護隔離，正確。D 血紅素過低可依醫囑補充紅血球濃厚液，正確。","骨髓抑制＝紅血球、白血球、血小板三系受抑。閾值記憶：ANC\u003C500\u002FμL＝嚴重感染風險，須保護隔離、避免生食鮮花；血小板\u003C50,000＝創傷手術易出血，\u003C20,000＝自發性出血風險升高，\u003C10,000＝顱內等致命出血高危。貧血依症狀輸紅血球濃厚液。此題陷阱在把 50,000 誤植為「自發性出血」門檻，實際自發性出血門檻更低（約 20,000）。記憶：五萬怕受傷、兩萬怕自發、一萬怕腦出血。",[24,27,30,33,35],{"term":25,"count":26},"骨髓抑制",8,{"term":28,"count":29},"血小板減少",3,{"term":31,"count":32},"保護隔離",2,{"term":34,"count":10},"自發性出血閾值",{"term":36,"count":10},"絕對嗜中性白血球",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-1-medical-surgical-044","下列皮膚病灶何者是原發性皮膚病變？",44,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-110-2-medical-surgical-060","急性腎衰竭病人血清鉀為 7.2 mEq\u002FL，下列處置何者正確？①靜脈注射中長效胰島素及 5%葡萄糖溶液 ②口服或灌腸給予 Kayexalate ③靜脈注射重碳酸鈉 ④鼓勵多食用香蕉、柳丁",60,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-111-1-medical-surgical-074","有關糖尿病酮酸中毒（DKA）與高滲透壓高血糖狀態（HHS）之臨床處置，下列何者正確？",74,111,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-112-2-medical-surgical-032","有關靜脈曲張之護理指導，下列敘述何者正確？",32,112,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-113-3-medical-surgical-006","有關維持口腔黏膜完整性的原則，下列敘述何者錯誤？",6,113,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-114-3-medical-surgical-050","有關阻塞性黃疸的評估，下列敘述何者最適當？",50,114,"2026-09-04",1788510721193]