[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-111-1-內外科護理學-015","nurse-111-1-medical-surgical-015",111,1,15,"有關癌症病人貧血問題之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"全胃或脾臟切除手術會影響病人紅血球的生成","貧血症狀包括蒼白、心跳變慢、血壓上升、易疲倦等","鼓勵病人補充鐵質和含葉酸食物，如牛肉、綠色蔬菜","集中護理可讓病人獲得充分的休息","B",null,[],"本題考點是癌症病人貧血的原因與表徵,採否定題。依貧血的病生理,紅血球或血紅素減少使組織缺氧、攜氧能力下降,身體代償會使『心跳加快』而非變慢,同時因血液攜氧不足與代償性血管反應,血壓多偏低或正常而非上升;選項 B 稱『心跳變慢、血壓上升』與代償機轉相反,故為錯誤敘述,選 B。A 正確,全胃切除影響內在因子分泌、脾切除與造血相關,均可影響紅血球生成。C 正確,補充鐵質與葉酸(牛肉、綠色蔬菜)有助造血。D 正確,集中護理減少干擾,讓貧血病人獲得充分休息、降低氧耗。","貧血代償口訣:組織缺氧→交感興奮→心跳加速、呼吸加快,合併蒼白、疲倦、頭暈、活動後喘。所以『心搏過緩』與貧血代償方向相反,是本題破綻。全胃切除會缺乏內在因子→維生素 B12 吸收不良→惡性貧血(巨球性);缺鐵則為小球性低血色素性貧血。護理重點:漸進活動、集中護理省氧、營養補充(依貧血類型補鐵或 B12\u002F葉酸)、監測血紅素。",[24,26,28,30],{"term":25,"count":10},"癌症病人貧血",{"term":27,"count":10},"組織缺氧代償心跳加速",{"term":29,"count":10},"全胃切除與內在因子",{"term":31,"count":10},"鐵與葉酸補充",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-016","有關膽結石好發之高危險群，下列何者最不可能？",16,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-032","病人昨天接受冠狀動脈繞道手術（CABG），胸管引流量共 600 mL，今體溫 38.7℃，血壓 100\u002F60 mmHg， SaO 2 94%。下列處置何者錯誤？",32,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-046","有關膠帶等黏性產品使用之敘述，下列何者正確？",46,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",34,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-038","有關血液透析病人動靜脈瘻管（A-V fistula）之護理措施，下列何者正確？",38,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-032","有關心衰竭病人使用多巴胺（dopamine）之敘述，下列何者正確？",106,"2026-09-04",1788510734347]