[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-內外科護理學-037","nurse-111-1-medical-surgical-037",111,1,37,"有關白血病病人接受異體骨髓移植後出現合併症之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"移植前曾罹患肝炎者會增加肝靜脈阻塞的機率","急性移植物對抗宿主疾病以皮膚、腸胃道及肝臟為主","慢性移植物對抗宿主疾病的發生率與年齡有關","移植後 2 星期內的感染以巨細胞病毒感染最常見","D",null,[],"本題考點為異體骨髓移植合併症的錯誤敘述辨識。選項D稱移植後 2 星期內感染以巨細胞病毒（CMV）最常見，實際上移植後極早期（前 2–4 週、嗜中性球低下期）以細菌與黴菌感染為主，CMV 感染典型好發於移植後約 1–3 個月的中期，時序被寫錯，故答錯選 D。A的肝炎病史增加 VOD 風險、B的急性 GVHD 侵犯皮膚腸胃道肝臟、C的慢性 GVHD 發生率與年齡（年長者較高）相關，皆為正確敘述。判斷依據為感染的時間軸配對。","移植後感染時序：早期（\u003C30 天，嗜中性球缺乏）以細菌、念珠菌與麴菌為主；中期（30–100 天，細胞免疫恢復緩慢）以 CMV、肺囊蟲（PJP）為代表；晚期（>100 天，多合併慢性 GVHD）以莢膜菌與帶狀疱疹為主。此三階段是考試常客。急性 GVHD 三大標的（皮膚、腸胃道、肝）與慢性 GVHD 的年齡相關性也需一併記住。",[24,27,29,31],{"term":25,"count":26},"異體骨髓移植",2,{"term":28,"count":10},"感染時間軸",{"term":30,"count":10},"巨細胞病毒感染",{"term":32,"count":10},"移植物對抗宿主疾病",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-038","有關特異性血小板減少性紫斑症之敘述，下列何者正確？①可能與自體免疫疾病有關 ②骨髓檢查可發現巨核細胞增加 ③須避免使用 Aspirin 的藥物 ④經常發生於細菌感染後",38,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-medical-surgical-054","有關移除胸管的護理措施，下列何者錯誤？",54,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-068","一位 18 歲女性主訴最近發現全身皮膚起紅疹、口腔潰瘍、關節疼痛、偶有頭痛，另血紅素及血小板降低、抗核抗體升高，下列何者為其最可能之診斷？",68,112,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-113-2-medical-surgical-006","腦中風病人有吞嚥困難的問題，由口進食的食物性狀須採漸進性改變，下列何者是最後採用的類型？",6,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-010","有關膽囊癌，下列敘述何者最不適當？",10,114,3,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-054","病人移除人工氣道後，出現下列何種現象應做緊急處理？",106,"2026-09-04",1788510734559]