[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-112-2-內外科護理學-028","nurse-112-2-medical-surgical-028",112,2,28,"有關心肌梗塞急性期的治療，下列敘述何者正確？①從鼻套管給 10 L\u002Fmin 氧氣 ②給予麻醉性止痛劑止痛，如 morphine ③給予血栓溶解劑治療 ④給予抗凝血劑治療 ⑤補充維生素 K",{"A":14,"B":15,"C":16,"D":17},"①②③","①④⑤","②③④","③④⑤","C",null,[],"本題考點是急性心肌梗塞急性期的處置原則，正解為②③④（選 C）。依心肌梗塞急性期以「恢復冠狀動脈血流、減少心肌耗氧、止痛」為目標：②給予麻醉性止痛劑 morphine 可止痛並降低交感興奮與心臟負荷，正確；③給予血栓溶解劑溶解冠狀動脈血栓、恢復再灌流，正確；④給予抗凝血劑防止血栓進一步形成，正確。①敘述錯誤，急性期給氧採低流量鼻套管（一般約 2–4 L\u002Fmin）且僅在缺氧時給予，「10 L\u002Fmin」流量過高不當；⑤敘述錯誤，維生素 K 是促凝血因子（會對抗抗凝血作用），與此處抗凝、溶栓的治療方向相反，不應補充，故含①或⑤者均不選。","急性心肌梗塞的治療口訣「MONA」加再灌流：Morphine（止痛、降耗氧）、Oxygen（僅缺氧時給、低流量）、Nitroglycerin（擴張冠狀動脈、降前負荷）、Aspirin（抗血小板）。再灌流治療是關鍵——首選經皮冠狀動脈介入（PCI），無法即時 PCI 時於黃金時間內給血栓溶解劑；抗凝血劑（如 heparin）防止血栓延伸。維生素 K 是本題明確陷阱：它促進凝血因子 II、VII、IX、X 合成，是 warfarin 的解毒劑，在需抗凝、溶栓的心肌梗塞情境給它等於反其道而行。氧氣「低流量、按需給」是近年更新觀念，過度給氧無益甚至可能有害，故 10 L\u002Fmin 明顯過量。",[24,27,30,32],{"term":25,"count":26},"急性心肌梗塞",5,{"term":28,"count":29},"血栓溶解劑與抗凝血劑",1,{"term":31,"count":29},"morphine止痛",{"term":33,"count":29},"低流量給氧",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-029","有關心臟節律器放置術後護理措施之敘述，下列何者不適宜？",29,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-045","有關胰臟所製造的激素與作用，下列敘述何者錯誤？",45,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-039","有關尿失禁照護之敘述，下列何者正確？①凱格爾式運動可改善壓力性尿失禁 ②定時導尿法可改善滿溢性尿失禁 ③長期導尿管留置可改善急迫性尿失禁 ④膀胱訓練可改善完全性尿失禁",39,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-medical-surgical-037","有關低血容性休克分期的進行期，下列敘述何者最不適當？",37,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-011","下列何者顯示結腸造口病人可能有貧血現象？",11,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-medical-surgical-045","關於瀰漫性血管內凝血病人的敘述，下列何者代表護理師需要重新指導預防出血的方法？",107,"2026-09-04",1788510747511]