[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-110-2-內外科護理學-031","nurse-110-2-medical-surgical-031",110,2,31,"有關心律不整的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"心房纖維顫動（Af）容易產生血栓，可以使用 Heparin 來預防","陣發性心室心搏過速（PSVT）可以使用按摩頸動脈竇的方式來使心律恢復正常","竇性心搏過慢（sinus bradycardia）常見於運動員，不需要治療","1 ° 房室傳導阻斷（1 ° AV block），通常不會出現症狀，不需要治療","A",null,[],"本題考點在於各類心律不整的處置原則，須挑出錯誤者。心房纖維顫動(Af)因心房血液鬱積易形成血栓，其「長期預防」栓塞應以口服抗凝血劑Warfarin(或新型口服抗凝劑)為主，Heparin屬注射型多用於急性或短期銜接，故A以Heparin作為預防的敘述不恰當，為本題答案。陣發性心室上心搏過速可用按摩頸動脈竇等迷走神經刺激法終止(B)，正確。竇性心搏過慢常見於運動員且無症狀時不需治療(C)，正確。一度房室傳導阻斷通常無症狀、不需治療(D)，正確。故錯誤者為A。","Af栓塞預防看CHA2DS2-VASc分數決定是否長期抗凝，口服Warfarin監測INR、新型口服抗凝劑(NOAC)免監測;Heparin為急性期或圍手術期橋接。迷走神經刺激(頸動脈竇按摩、Valsalva)可終止陣發性心室上心搏過速。記憶口訣「Af長期防栓用口服、Heparin管急性」。可連結概念：CHA2DS2-VASc、電氣整流術、迷走神經刺激法。",[24,26,29,31],{"term":25,"count":10},"心房纖維顫動",{"term":27,"count":28},"抗凝血劑選擇",1,{"term":30,"count":28},"迷走神經刺激法",{"term":32,"count":28},"房室傳導阻斷",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-032","有關僧帽瓣狹窄的臨床表徵，下列何者正確？",32,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-medical-surgical-048","有關後天免疫缺乏症候群（Acquired Immunodeficiency Syndrome, AIDS）之敘述，下列何者錯誤？",48,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-062","有關膀胱結石的治療與照護措施，下列何者錯誤？",62,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-020","有關心臟衰竭病人的照護，下列何者正確？①採高坐臥姿勢可以減少心臟後負荷 ②限水限鹽分的攝取是為了減少前負荷 ③使用動脈血管擴張劑可以降低周邊血管阻力及後負荷 ④使用嗎啡可以改善呼吸喘但無法減輕心臟負荷",20,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-medical-surgical-024","為一位乳癌骨轉移合併脊髓壓迫的病人進行身體評估時，下列症狀或徵象何者最不常出現？",24,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-018","有關急性心肌梗塞後病人的運動原則，下列敘述何者錯誤？",18,115,"2026-09-04",1788510729065]