[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-042":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-042","nurse-111-2-medical-surgical-042",111,2,42,"下列何者不是接受周邊造血幹細胞移植治療的禁忌症？",{"A":14,"B":15,"C":16,"D":17},"血小板數目＞150,000\u002Fmm 3 者","有肺部或深部靜脈栓塞病史者","懷孕或哺乳中的婦女","自體免疫疾病者","A",null,[],"本題考點為周邊造血幹細胞移植的禁忌症,採反向題(問「不是禁忌」者)。血小板數目大於 150,000\u002Fmm³ 屬正常範圍,並非移植禁忌,故 A 為正確答案(不是禁忌)。B 有肺部或深部靜脈栓塞病史者,採血與移植過程有血栓風險,屬禁忌;C 懷孕或哺乳中婦女因藥物與處置對胎兒或嬰兒有害,屬禁忌;D 自體免疫疾病者因免疫調節異常,移植風險高,屬禁忌。故唯一非禁忌者為血小板正常。","周邊血造血幹細胞採集(PBSCT)前常以白血球生成素(G-CSF)動員幹細胞至周邊血,再以血液分離術(apheresis)收集。禁忌考量圍繞「採集安全」與「病人風險」:血栓病史者在導管留置與細胞動員下血栓風險升高;懷孕哺乳受動員劑與化療影響;自體免疫疾病可能因移植惡化或影響植入。血小板數值反而是採集可行性的正向指標——足夠的血小板代表骨髓造血功能與凝血尚可,故正常血小板非但不是禁忌,還是有利條件。此題關鍵在看清是「反向題」。",[24,27,29,31],{"term":25,"count":26},"周邊造血幹細胞移植",1,{"term":28,"count":26},"移植禁忌症",{"term":30,"count":26},"血栓病史風險",{"term":32,"count":26},"反向題判讀",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-043","化學治療最常見的副作用，下列何者正確？①便秘 ②白血球增加 ③紅血球減少 ④口腔黏膜破損 ⑤掉頭髮",43,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-059","有關膀胱炎之敘述，下列何者最適宜？",59,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-073","有關第 1 型糖尿病之敘述，下列何者錯誤？",73,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-041","有關腎臟癌的臨床表徵，下列何者錯誤？",41,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-045","劉女士因血糖控制不佳入院，下列病人平日之飲食攝取比例，何者不適宜？①碳水化合物類的食物約占每日總熱量的50～60％    ②脂肪類的食物約占每日總熱量的5～10％     ③飽和脂肪類的食物小於7％    ④蛋白質類的食物約占每日總熱量的30～35％",45,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-059","下列何種藥物可以直接灌注於膀胱內以治療膀胱癌？",106,"2026-09-04",1788510738588]