[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-041","nurse-111-1-medical-surgical-041",111,1,41,"有關癌症病人出血問題之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血小板數目 8 萬\u002FμL 是正常的數據","消化道出血時，可使用冰鹽水灌洗","有出血傾向的病人要限制使用 Coumadin 和 Heparine","要避免肌肉注射或量肛溫等侵入性處置","A",null,[],"本題考點為癌症病人出血問題照護的錯誤敘述。選項A稱血小板 8 萬\u002FμL 為正常值，實際上正常血小板約 15 萬–40 萬\u002FμL，8 萬屬偏低（血小板減少），敘述錯誤故選 A。B消化道出血以冰鹽水灌洗使血管收縮止血、C有出血傾向者須謹慎使用 Coumadin、Heparin 等抗凝血劑、D避免肌肉注射與量肛溫等侵入性動作以防出血，皆為正確措施。判斷關鍵在於熟記血小板正常值區間，辨識 8 萬被誤稱為正常。","血小板低下的出血風險分層：\u003C5 萬有黏膜出血風險、\u003C2 萬有自發性出血（含顱內出血）風險，常為輸注血小板的門檻。護理上避免侵入性處置、以軟毛牙刷、避免 Aspirin\u002FNSAID、觀察瘀斑與血尿血便。冰鹽水灌洗（cold saline lavage）藉低溫使胃黏膜血管收縮而止血。牢記正常血小板 15 萬–40 萬是判題核心。",[24,27,30,32],{"term":25,"count":26},"血小板減少",3,{"term":28,"count":29},"抗凝血劑",2,{"term":31,"count":10},"血小板正常值",{"term":33,"count":10},"出血預防措施",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-042","有關乳癌症狀與疾病分期之敘述，下列何者正確？",42,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-058","有關急性呼吸窘迫症候群（ARDS）病生理變化的敘述，下列何者正確？",58,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-072","承上題，有關陳小姐術後之護理指導，下列敘述何者正確？",72,112,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-113-2-medical-surgical-010","預防全胃切除病人發生惡性貧血，可補充下列何種維生素？",10,113,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-3-medical-surgical-014","有關美尼爾氏症（Ménière’s disease），下列敘述何者最不適當？",14,114,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-1-medical-surgical-058","評估呼吸道阻塞嚴重度的指標，下列何者最重要？",106,"2026-09-04",1788510734591]