[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-040":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-040","nurse-112-1-medical-surgical-040",112,1,40,"有關癌症病人血小板減少症之處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可給與非類固醇抗發炎藥物緩解疼痛","必要時輸注凝血因子避免自發性出血","給與 Bisacodyl supp 避免便秘而閉氣用力","天冷時鼻黏膜塗擦凡士林保濕","D",null,[],"本題考點在於癌症病人血小板減少症的護理處置。依出血預防原則,血小板低下時鼻黏膜乾裂易出血,天冷時塗擦凡士林保濕可減少黏膜龜裂出血,屬正確措施,故答案為D。A非類固醇抗發炎藥物(NSAID)會抑制血小板功能而加重出血,不宜使用;B血小板減少應輸注血小板而非凝血因子;C Bisacodyl栓劑會刺激直腸黏膜恐引起出血,亦不宜,故A、B、C皆錯。","血小板減少(尤\u003C50000)照護:避免侵入性操作、肌肉注射與栓劑、勿用阿斯匹靈與NSAID、使用軟毛牙刷與電動刮鬍刀、避免用力擤鼻與便秘閉氣、預防跌倒。低於10000-20000有自發性出血風險需輸注血小板。凡士林保濕鼻黏膜、軟便劑預防便秘,皆是減少出血誘因的合理措施。",[24,27,29,31],{"term":25,"count":26},"血小板減少症",2,{"term":28,"count":10},"避免NSAID與栓劑",{"term":30,"count":10},"輸注血小板",{"term":32,"count":10},"黏膜保濕防出血",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-041","有關良性腫瘤及惡性腫瘤之敘述，下列何者正確？",41,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-112-2-medical-surgical-057","有關單側自發性氣胸病人之身體檢查評估結果，下列何者錯誤？",57,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-medical-surgical-021","針對接受trastuzumab（Herceptin®）治療的癌症病人之護理，下列何者正確？①靜脈滴注給藥 ②空腹口服給藥 ③監測丘疹、手足症候群 ④監測心臟功能",21,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-medical-surgical-019","有關心律去顫整流術（defibrillation）之敘述，下列何者錯誤？",19,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-023","有關美尼爾氏症的處置，下列何者錯誤？",23,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-057","有關協助肺心症病人清除呼吸道分泌物之措施，下列何者錯誤？",107,"2026-09-04",1788510742054]