[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-034":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-034","nurse-112-1-medical-surgical-034",112,1,34,"有關非何杰金氏淋巴瘤預後不佳的因素，下列何者正確？①年齡小於 50 歲 ②身體功能狀態不佳 ③淋巴結外侵犯 ④血紅素值小於 12 g\u002FdL",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在於非何杰金氏淋巴瘤的預後不良因子。依國際預後指標(IPI),不良因子包括年齡大於60歲、身體功能狀態(performance status)不佳、淋巴結外(結外)侵犯、乳酸脫氫酶升高與較晚分期等,故②身體功能不佳、③結外侵犯、④血紅素偏低皆屬預後不佳,答案為D(②③④)。①年齡小於50歲屬年輕、預後相對較好,方向相反,故不列入不良因子。","NHL的IPI五項不良因子口訣「APLES」概念:Age>60、Performance status差(ECOG≥2)、LDH升高、Extranodal結外部位>1、Stage III\u002FIV。年齡越大、功能越差、腫瘤負荷越高預後越差。血紅素偏低反映骨髓侵犯或腫瘤負荷,亦屬不利。年輕(\u003C50歲)反而是有利因子,故①不選。",[24,27,29,31],{"term":25,"count":26},"非何杰金氏淋巴瘤",2,{"term":28,"count":26},"國際預後指標IPI",{"term":30,"count":10},"結外侵犯",{"term":32,"count":10},"身體功能狀態",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-035","有關瀰漫性血管內凝血的敘述，下列何者正確？①與感染有關 ②常出現凝血症狀 ③檢查時纖維蛋白原下降 ④常出現出血症狀",35,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-051","評估一位氣胸且剛接上胸管病人的胸腔水下引流系統裝置，下列何者為不正常現象？",51,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-015","有關鼻竇炎病人的護理指導，下列何者錯誤？",15,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-013","有關移除下肢石膏後病人護理指導之敘述，下列何者不適當？",13,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-017","下列何種器官所分泌的消化酶可分解脂肪及蛋白質？",17,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-051","有關急性呼吸窘迫症候群（ARDS）的診斷標準，下列何者正確？",107,"2026-09-04",1788510741996]