[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-2-內外科護理學-026","nurse-110-2-medical-surgical-026",110,2,26,"使用 Warfarin（Coumadin ○ R ）預防深部靜脈栓塞（deep vein thrombosis, DVT）之護理指導，下列何者正確？①需定期監測凝血酶原時間（PT） ②鼓勵多攝取銀杏、當歸 ③若出現血尿是正常的現象不需理會 ④宜使用電動刮鬍刀",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","B",null,[],"本題考點在於口服抗凝血劑Warfarin的用藥安全指導。Warfarin拮抗維生素K依賴凝血因子的合成，治療窗窄，須定期監測凝血酶原時間(PT)與INR以調整劑量，故①正確。使用電動刮鬍刀取代刀片可降低刮傷出血風險，故④正確，組合①④為正解B。銀杏、當歸具抗凝或抗血小板作用，會加成出血風險，不宜鼓勵攝取，②錯。血尿是出血徵象，須進一步評估與就醫評估而非忽略，③錯。故正確組合為①④的B。","Warfarin監測用PT\u002FINR，抗凝目標INR多為2-3。飲食須「穩定」攝取富含維生素K的深綠色蔬菜，忌忽多忽少影響藥效。避免併用增加出血的銀杏、當歸、丹參、大蒜、魚油及NSAID。出血徵象：血尿、黑便、牙齦出血、瘀斑。解毒劑為維生素K。記憶口訣「Warfarin看INR、綠菜要穩定、電動刮鬍防出血」。可連結概念：Heparin(監測aPTT)、DVT預防、抗血小板藥。",[24,27,30,32],{"term":25,"count":26},"Warfarin",4,{"term":28,"count":29},"凝血酶原時間PT",1,{"term":31,"count":29},"出血徵象",{"term":33,"count":29},"藥物與草藥交互作用",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-medical-surgical-027","有關高血壓病人服用 Propranolol（Inderal）的護理指導，下列何者正確？①需確認病人有無氣喘 ②服藥前宜先檢查心跳次數 ③副作用有低血鈉 ④副作用會造成脫水",27,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-medical-surgical-043","有關前列腺癌之敘述，下列何者正確？",43,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-medical-surgical-057","李先生為氣喘病人，目前使用 Aminophylline 靜脈輸注溶液，護理師得知李先生血清中的 Theophylline 濃度為 12 μg\u002FmL，此時最適當的護理措施為何？",57,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-medical-surgical-015","有關美尼爾氏症（Meniere’s syndrome）之敘述，下列何者正確？①內耳淋巴水腫引起 ②眩暈及耳朵疼痛是典型症狀 ③可能導致單側傳導性聽力喪失 ④耳鳴是典型症狀",15,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-114-1-medical-surgical-019","有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",19,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,115,"2026-09-04",1788510728990]