[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-112-3-內外科護理學-026","nurse-112-3-medical-surgical-026",112,3,26,"病人於化學治療後抽血報告顯示 WBC 3,000\u002FμL、Platelet 30,000\u002FμL、Hb 12g\u002FdL，下列照護措施何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"給予非類固醇抗發炎藥物治療發燒、疼痛","建議病人使用電動牙刷徹底清潔口腔","給予甘油灌腸避免便秘而閉氣用力","天冷時鼻黏膜塗擦凡士林保濕","D",null,[],"本題考點在於化學治療後骨髓抑制病人的照護原則。抽血顯示白血球3,000\u002FμL偏低、血小板30,000\u002FμL明顯偏低,照護重點在避免感染與出血。D天冷時鼻黏膜塗擦凡士林保濕可防止黏膜乾裂出血,最適宜。A非類固醇抗發炎藥物會抑制血小板功能、增加出血風險,不宜。B電動牙刷易造成牙齦出血,血小板低下時應改用軟毛牙刷輕柔清潔。C甘油灌腸可能損傷肛門黏膜引起出血與感染。故選D。","血小板\u003C50,000\u002FμL須注意出血徵象,\u003C20,000\u002FμL有自發性出血風險;白血球中嗜中性球絕對值(ANC)\u003C500\u002FμL為嚴重感染風險期。照護原則可濃縮為「防出血(軟毛牙刷、避免侵入性操作、勿用力解便)」與「防感染(手部衛生、避免生食與人群)」兩大主軸。",[24,27,29,32],{"term":25,"count":26},"骨髓抑制",8,{"term":28,"count":10},"血小板低下",{"term":30,"count":31},"白血球低下",2,{"term":33,"count":31},"出血預防",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-027","病人剛接受骨髓移植 2 週，主訴右上腹痛，評估有黃疸、腹水，下列何者是病人最有可能發生的問題？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-2-medical-surgical-023","有關常見腫瘤標記的應用，下列何者正確？ ①癌胚抗原（CEA）可監測結腸直腸癌治療效果 ②癌抗原 125（CA125）可監測胰臟癌與消化道腫瘤 ③前列腺特異抗原（PSA）為前列腺癌的偵測與治療指標 ④癌抗原 15-3（CA15-3）可監測晚期或合併遠端轉移乳癌之治療反應 ⑤α-胎兒蛋白（AFP）為監測肺癌治療後的指標",23,113,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-114-1-medical-surgical-017","有關裝置永久性心臟節律器病人居家護理指導之敘述，下列何者錯誤？",17,114,1,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-115-2-medical-surgical-015","有關喉癌病人行全喉切除術後之敘述，下列何者正確？",15,115,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-107-1-medical-surgical-009","引起急性感染性腹瀉後可能出現關節炎合併症之微生物，下列何者正確？",9,107,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-108-1-medical-surgical-043","有關燒傷病人達到體液復甦目標之指標，下列何者正確？",43,108,"2026-09-04",1788510744989]