[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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":10},"nurse-112-3-內外科護理學-022","nurse-112-3-medical-surgical-022",112,3,22,"有關冠狀動脈繞道手術後護理，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"當小便量減少時，須監測血中鉀離子濃度","當縱膈腔引流管（P-R tube）引流量＞100 mL\u002Fhr，須監測凝血功能","監測心律並注意傷口是否出血","當凝血酶原時間（PT）延長時，須注射 Protamine Sulfate","D",null,[],"本題考點在於冠狀動脈繞道手術（CABG）後的監測重點與抗凝逆轉用藥。本題為反向題，錯誤敘述為 D：當凝血酶原時間（PT）延長時，逆轉的是 warfarin，須用維生素 K；而 Protamine Sulfate 是用來中和肝素（heparin）的解毒劑，兩者對象不同，故此敘述錯誤，選 D。判斷關鍵是「Protamine 中和肝素、非用於 PT 延長」。A 尿量減少須警覺腎灌流與電解質變化、監測血鉀，正確。B 縱膈腔引流量大於 100 mL\u002Fhr 提示可能出血，須監測凝血功能，正確。C 監測心律並注意傷口出血，正確。","抗凝逆轉須配對記憶：肝素（監測 aPTT）過量以 Protamine Sulfate 中和；warfarin（監測 PT\u002FINR）過量以維生素 K 逆轉，緊急時輔以新鮮冷凍血漿或凝血因子製劑。CABG 術後因體外循環使用肝素抗凝，故 protamine 常用於術後中和殘餘肝素。術後護理著重血流動力學、心律、引流量與傷口出血監測，引流量驟增或突然停止（可能心包填塞）皆須立即警覺。",[24,26,29,31],{"term":25,"count":10},"凝血酶原時間 PT",{"term":27,"count":28},"冠狀動脈繞道手術",1,{"term":30,"count":28},"Protamine Sulfate 中和肝素",{"term":32,"count":28},"維生素 K 逆轉 warfarin",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-023","病人初次確診為缺鐵性貧血，醫囑須服用鐵劑，下列護理指導何者正確？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-019","下列何者不是骨質疏鬆症之危險因素？",19,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-medical-surgical-013","有關骨質疏鬆症處置之敘述，下列何者正確？",13,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-011","有關病人因右側髖骨骨折接受全髖關節置換術之護理指導，下列敘述何者正確？",11,115,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-1-medical-surgical-005","江小姐因頸椎滑脫須使用床頭式骨骼牽引 Gardner-Wells Tongs traction 讓頸椎復位，下列敘述何者正確？",5,107,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-108-1-medical-surgical-039","有關癌症常見的腫瘤標記之敘述，下列何者錯誤？",39,108,"2026-09-04",1788510744964]