[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-032":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-032","nurse-112-1-medical-surgical-032",112,1,32,"下列何者最適合接受機械性人工心瓣膜置換術？",{"A":14,"B":15,"C":16,"D":17},"出血傾向者","計畫生育婦女","50 歲的停經婦女","80 歲的女性老人","C",null,[],"本題考點在於機械性人工心瓣膜的適應對象。依裝置特性,機械瓣膜耐用度高但須終生服用抗凝劑Warfarin,故適合預期壽命較長、能配合長期抗凝且無出血或懷孕顧慮者,50歲停經婦女符合條件,答案為C。A出血傾向者不適合終生抗凝;B計畫生育婦女因Warfarin具致畸性應避免;D 80歲高齡者預期壽命有限,多選用免長期抗凝的生物瓣膜,故A、B、D皆不適合。","瓣膜選擇原則:機械瓣=耐久(可用20年以上)但需終生Warfarin抗凝,適合年輕、預期壽命長者;生物瓣(豬\u002F牛心包)=不需長期抗凝但約10-15年退化,適合高齡、有出血風險或計畫懷孕的婦女。停經婦女無懷孕顧慮、年齡尚可受益於耐久瓣膜,故為機械瓣的合適對象。",[24,27,29,31],{"term":25,"count":26},"機械性人工瓣膜",2,{"term":28,"count":10},"終生Warfarin抗凝",{"term":30,"count":10},"生物瓣膜適應症",{"term":32,"count":10},"懷孕與出血禁忌",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-033","接受同步化學放射治療（CCRT）的病人，其抽血報告顯示 WBC 3000\u002FμL、seg 20%、band 5%、 monocyte 12%、Hb 10.5 g\u002FdL、platelet 50000\u002FμL，下列敘述何者錯誤？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-049","有關免疫球蛋白特性之敘述，下列何者正確？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-013","有關下背痛病人使用骨盆牽引治療之敘述，下列何者正確？",13,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-011","下列何者為骨質疏鬆的危險因子？①停經前之婦女 ②攝取大量咖啡茶飲 ③規律的運動 ④靜態生活或長期臥床 ⑤日曬時間不足",11,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-015","有關消化性潰瘍主要包括的病變部位，下列何者正確？①口腔潰瘍 ②食道潰瘍 ③胃潰瘍 ④十二指腸潰瘍",15,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-049","有關過敏性疾病的護理指導，下列何者錯誤？",107,"2026-09-04",1788510741983]