[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-112-1-內外科護理學-029","nurse-112-1-medical-surgical-029",112,1,29,"有關心律不整病人照護之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在施行整流術前，應給與 Valium，以減少病人焦慮與不適","裝置心臟節律器的病人，應隨身攜帶心臟節律器之識別卡","心室上心搏過速（SVT）的病人，可教導伐氏操作法（Valsalva’s maneuver）","服用 Warfarin 的病人，需定期監測部分凝血活酶時間（PTT）","D",null,[],"本題考點在於心律不整照護與抗凝監測指標。依藥理監測原則,Warfarin屬口服抗凝劑,應以凝血酶原時間(PT)與INR監測,而部分凝血活酶時間(PTT\u002FaPTT)是用於監測Heparin,故錯誤敘述為D。A整流術前給予Valium鎮靜以減輕焦慮不適,正確;B裝心臟節律器者應隨身攜帶識別卡,正確;C陣發性室上心搏過速可教導伐氏操作法(Valsalva)刺激迷走神經以減慢心率,正確,故皆非答案。","抗凝監測口訣:Warfarin看PT\u002FINR(口服、維生素K拮抗),Heparin看aPTT(靜脈、活化抗凝血酶III)。伐氏操作法透過閉氣用力增加迷走神經張力,可終止部分SVT。整流術(cardioversion)前給予鎮靜劑,並確認已抗凝或排除心房血栓以防栓塞。識別卡便於急救時辨識裝置。",[24,27,29,31],{"term":25,"count":26},"Heparin監測aPTT",2,{"term":28,"count":10},"Warfarin監測PT\u002FINR",{"term":30,"count":10},"伐氏操作法",{"term":32,"count":10},"心臟整流術",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-030","下列何者為骨性關節炎的症狀和徵象？",30,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-046","熱燒傷病人進行水療法時之護理措施，下列何者最適宜？",46,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-010","有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",10,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-008","有關上腸胃道出血的照護，下列何者錯誤？",8,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-012","有關肝硬化造成腹水的機轉，下列何者錯誤？",12,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-046","有關單純性疱疹之敘述，下列何者錯誤？",107,"2026-09-04",1788510741957]