[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-1-內外科護理學-064","nurse-111-1-medical-surgical-064",111,1,64,"梁太太規律接受血液透析，因腎性貧血服用葉酸，其最恰當的服用時間為何？",{"A":14,"B":15,"C":16,"D":17},"透析前半小時服用","開始透析時立即服用","透析當中服用","透析結束後服用","D",null,[],"本題考點在於血液透析病人服用水溶性維生素的時機。葉酸屬水溶性維生素,分子小、不與蛋白質結合,在血液透析過程中會被透析膜濾出而流失,依此藥理特性,若在透析前或透析中服用,藥物尚未吸收利用就被清除,故最恰當時間為「透析結束後」服用,可避免藥效被透析清除,選 D。A 透析前半小時服用,藥物會於透析中被濾除,錯誤。B 開始透析時立即服用同樣會被清除,錯誤。C 透析當中服用更直接被透析膜移除,錯誤。腎性貧血補充葉酸是為協助紅血球成熟造血,務求藥物能被身體留住利用。","透析可清除的藥物多為分子量小、水溶性、蛋白結合率低者,水溶性維生素(B 群、C、葉酸)皆屬此類,因此洗腎病人常須額外補充且安排在透析後給藥。對比脂溶性維生素(A、D、E、K)則不易被透析清除。腎性貧血主因是腎臟分泌 erythropoietin 不足,治療核心是補充 EPO,葉酸與鐵劑為造血原料的輔助補充。",[24,27,30,32,34],{"term":25,"count":26},"血液透析",6,{"term":28,"count":29},"腎性貧血",2,{"term":31,"count":10},"葉酸",{"term":33,"count":10},"水溶性維生素",{"term":35,"count":10},"給藥時機",[37,41,45,49,54,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-065","有關酸鹼不平衡之敘述，下列何者錯誤？",65,{"webId":42,"stem":43,"number":10,"year":44,"session":10},"nurse-112-1-medical-surgical-001","罹患腦下垂體腫瘤病人，醫師建議使用伽馬刀療法，下列何者顯示病人已了解本項治療？",112,{"webId":46,"stem":47,"number":48,"year":44,"session":29},"nurse-112-2-medical-surgical-015","有關急性胃炎之護理措施，下列何者錯誤？",15,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-2-medical-surgical-033","有關乳癌病人荷爾蒙治療之敘述，下列何者錯誤？",33,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-medical-surgical-037","有關低血容性休克分期的進行期，下列敘述何者最不適當？",37,114,3,{"webId":61,"stem":62,"number":10,"year":63,"session":29},"nurse-106-2-medical-surgical-001","林先生因頭部外傷需要裝置顱內壓監測系統的敘述，下列何者錯誤？",106,"2026-09-04",1788510734776]