[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-056","nurse-110-1-medical-surgical-056",110,1,56,"有關抗凝劑 Warfarin 使用的注意事項，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需教導病人觀察異常出血的症狀，如血尿、黑便、鼻出血等","需觀察顆粒白血球過少引起的發炎症狀，如發燒、喉嚨痛等","鼓勵服用含有高維生素 K 的食品，如青花椰菜、菠菜","若使用劑量不當造成出血不止，必要時可給予 Phytonadione","C",null,[],"本題考點在於口服抗凝劑Warfarin的作用機轉與衛教重點。Warfarin藉抑制維生素K依賴凝血因子（II、VII、IX、X）發揮抗凝效果，故攝取高維生素K食物會拮抗藥效、削弱抗凝，選項C的衛教方向錯誤，為本題答案。選項A正確，須教導觀察血尿、黑便、鼻出血等異常出血徵象。選項B正確，因少數病人可能出現顆粒性白血球減少，須留意發燒、喉嚨痛等感染徵象。選項D正確，Phytonadione即維生素K1，為Warfarin過量出血時的拮抗解毒劑。維生素K攝取應維持穩定而非刻意增加。","Warfarin機轉核心：阻斷維生素K環氧化物還原酶，使凝血因子無法羧化活化，故監測以INR（目標多為2–3）為主。衛教關鍵不是「禁食」深綠蔬菜，而是「維持恆定攝取量」避免INR大幅波動。解毒對照要背熟：Warfarin過量→維生素K1（Phytonadione）；Heparin過量→魚精蛋白（Protamine sulfate）。飲食交互作用可連結深綠蔬菜（菠菜、青花椰菜、甘藍）富含維生素K。可連結：維生素K依賴凝血因子、INR、Protamine對比。",[24,27,29,31],{"term":25,"count":26},"Warfarin",4,{"term":28,"count":10},"維生素K依賴凝血因子",{"term":30,"count":10},"INR",{"term":32,"count":10},"Phytonadione解毒",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-057","下列那一種肺癌生長最快速，且最惡性但對化學及放射線治療敏感？",57,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"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？",73,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-111-2-medical-surgical-007","腦腫瘤病人使用類固醇（Decadron）治療的主要目的，下列何者正確？",7,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-medical-surgical-045","有關電燒傷所造成的身體損傷，下列敘述何者正確？",45,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-medical-surgical-019","評估靜脈曲張之靜脈瓣功能的檢查，下列何者正確？①逆流型充盈試驗（retrograde filling test） ②艾倫測驗（Allen’s test） ③霍曼氏徵象（Homan sign） ④手壓測驗（manual compression test）",19,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-013","有關急性中耳炎的醫療處置，下列何者錯誤？",13,115,"2026-09-04",1788510721323]