[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":25},"nurse-111-2-內外科護理學-019","nurse-111-2-medical-surgical-019",111,2,19,"王先生接受右側全髖關節置換術後出現胸痛、呼吸短促、皮膚蒼白、冰冷。下列何者是王先生最可能產生的術後合併症？",{"A":14,"B":15,"C":16,"D":17},"關節脫位","出血","肺栓塞","深部靜脈栓塞","C",null,[],"本題考點在全髖關節置換術後致命合併症的辨識。病人出現胸痛、呼吸短促、皮膚蒼白冰冷，是血栓阻塞肺動脈、影響氣體交換與循環的表現，最可能為肺栓塞(pulmonary embolism)，故選C。A關節脫位表現為患肢疼痛、變短、外旋或內旋、無法動作，不會有胸痛喘促；B出血以血壓下降、心搏加快、傷口滲血為主，不以胸痛呼吸短促表現；D深部靜脈栓塞(DVT)症狀在患肢腫脹、疼痛、發熱，雖為肺栓塞的來源，但本身不直接造成胸痛與呼吸困難。故選C。","骨科大手術(尤其髖、膝置換)是靜脈血栓栓塞(VTE)高危族群，因血流鬱滯、血管內皮受損、高凝狀態(Virchow三要素)齊備。DVT脫落隨血流卡在肺動脈即成肺栓塞，典型突發胸痛、呼吸困難、低血氧、頻脈。預防以早期活動、抗凝劑、間歇性壓力裝置。可連結D-dimer、CT肺動脈攝影確診延伸複習。",[24,26,29,30],{"term":16,"count":25},9,{"term":27,"count":28},"全髖關節置換術",6,{"term":17,"count":28},{"term":31,"count":10},"Virchow三要素",[33,37,43,47,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-2-medical-surgical-020","有關上石膏病人的護理指導，下列何者錯誤？",20,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-112-1-medical-surgical-036","有關異體周邊血液幹細胞移植之敘述，下列何者正確？",36,112,1,{"webId":44,"stem":45,"number":46,"year":41,"session":10},"nurse-112-2-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現營養少於身體需要時之護理措施，下列何者錯誤？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-018","有關高血壓的敘述，下列何者正確？",18,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-115-1-medical-surgical-022","王老太太背部骨骼疼痛就醫，醫生懷疑是多發性骨髓瘤，請依序回答下列3題。下列何者為確定診斷的主要標準？",22,115,{"webId":59,"stem":60,"number":40,"year":61,"session":10},"nurse-106-2-medical-surgical-036","有關癌症病人臨床實驗室檢查結果之敘述，下列何者正確？",106,"2026-09-04",1788510738410]