[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-032":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-111-2-內外科護理學-032","nurse-111-2-medical-surgical-032",111,2,32,"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？",{"A":14,"B":15,"C":16,"D":17},"胸管引流量多，應評估凝血功能","SaO 2 94%，應給予 O 2 cannula 3 L\u002Fmin","血壓偏低，應給予輸血","體溫過高，應給予 Aspirin","D",null,[],"本題考點為 CABG 術後發燒的處置與抗凝出血風險的權衡。病人胸管引流 600 mL 偏多,依理應評估凝血功能(A對);SaO₂ 94% 偏低,給予鼻導管氧氣是合理處置(B對);血壓偏低合併大量引流,評估後給予輸血以補充血容量與帶氧能力可接受(C對)。發燒雖需處理,但 Aspirin 具抗血小板作用,在胸管大量引流、出血風險高的術後病人使用會加重出血,故 D 給予 Aspirin 退燒錯誤,為本題答案,退燒宜選 Acetaminophen。","此題核心是「出血情境下避開抗血小板\u002F抗凝藥物」。Aspirin 不可逆抑制 COX-1,阻斷血栓素 A2(TXA₂)合成而抑制血小板凝集,作用持續整個血小板壽命(約 7～10 天)。在術後胸管引流 600 mL 這種高出血風險情境,選它退燒等於火上加油。退燒應選 Acetaminophen(中樞抑制前列腺素合成、無抗血小板作用)。同時大量引流須警覺心包填塞可能,並評估 PT\u002FaPTT 與血小板。此題把「退燒藥選擇」與「術後出血」兩考點綁在一起,是典型陷阱設計。",[24,27,29,31],{"term":25,"count":26},"CABG 術後照護",1,{"term":28,"count":26},"Aspirin 抗血小板作用",{"term":30,"count":26},"術後出血風險",{"term":32,"count":26},"退燒藥選擇",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-033","有關搭飛機長程旅行後常會出現深部靜脈栓塞的主要原因，下列何者正確？",33,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-049","有關全身性紅斑性狼瘡病人之護理指導，下列何者錯誤？",49,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-063","有關急迫性尿失禁之照護，下列敘述何者正確？①可給予副交感神經藥物 ②指導膀胱訓練法 ③指導病人使用尿失禁輔助用品如護墊或尿布 ④施行人工尿道括約肌植入術",63,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-031","全身性紅斑性狼瘡屬於下列那一型之過敏反應？",31,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-035","李先生因肺結核服用ethambutol（EMB）治療，下列敘述何者正確？",35,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-049","有關全身性紅斑性狼瘡的診斷檢查結果，下列何者錯誤？",106,"2026-09-04",1788510738527]