[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-112-2-基本護理學與護理行政-051","nurse-112-2-fundamental-nursing-051",112,2,51,"有關靜脈抽血收集血液檢體，下列何者不是造成溶血的原因？",{"A":15,"B":16,"C":17,"D":18},"試管內含水分","使用太細的針頭抽血","劇烈搖晃血液檢體","沿試管壁緩緩注入血液","D",null,[],"本題考點是靜脈抽血造成檢體溶血的常見原因,錯誤敘述為 D。溶血指紅血球破裂使血紅素釋出,常見成因包括試管內殘留水分(低張造成細胞脹破)、使用過細針頭(血流通過細管剪切力大)、劇烈搖晃檢體(機械性破壞)等;而「沿試管壁緩緩注入血液」正是預防溶血的正確技巧,可減少衝擊與泡沫,故 D 不是造成溶血的原因,為本題答案。A、B、C 皆為導致溶血的實際因素。此題以「正確操作」混入錯誤原因清單中作為辨識點。","溶血會使血鉀、乳酸脫氫酶(LDH)、AST、血紅素等檢驗值假性升高,干擾電解質與生化判讀,故採檢須避免。預防要點:選擇適當管徑針頭、避免過度負壓抽吸、注入採血管時沿管壁緩緩注入勿用力推、含抗凝劑試管採輕柔上下顛倒混合(非劇烈搖晃)、確保試管乾燥、綁止血帶勿過久過緊。針頭過細、抽吸過猛、劇烈搖晃、試管殘水都會機械性或滲透性破壞紅血球。本題把「沿管壁緩注」這個正向技巧放進錯誤原因中,只要理解各操作對紅血球的影響即可挑出。",[25,28,30,32],{"term":26,"count":27},"檢體溶血原因",1,{"term":29,"count":27},"紅血球機械性破壞",{"term":31,"count":27},"沿試管壁緩注防溶血",{"term":33,"count":27},"溶血對檢驗值影響",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-052","王先生住院治療病情已穩定，主治醫師同意辦理出院手續，但王先生自認為病情尚無法回家，因此自行至他院就診要求住院，此現象王先生在原醫院應該是何種出院方式？",52,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-113-1-fundamental-nursing-018","在輸血過程中，病人出現皮膚癢、紅疹、鼻塞及呼吸困難等症狀，可能是發生下列何種輸血反應？",18,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-fundamental-nursing-012","有關經鼻胃管給藥的敘述，下列何者錯誤？",12,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-115-1-fundamental-nursing-010","有關給藥醫囑縮寫的意義，下列何者正確？①A.U.是指雙眼            ②A.S.是指左耳   ③S.C.是指「皮下注射」    ④Q4H表示每天四次",10,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-034","毛先生鼻咽癌接受同步化學治療與放射線治療，口腔內頰有一個 2 × 2 公分的潰瘍，可使用的口腔護理溶液，下列何者不適當？",34,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-fundamental-nursing-068","人力資源管理和人事管理概念之差異，下列何者錯誤？",68,107,"2026-09-04",1788510747012]