[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-113-1-內外科護理學-020","nurse-113-1-medical-surgical-020",113,1,20,"有關下肢深部靜脈栓塞服用Warfarin病人之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"需監測活化部分凝血酶原時間（APTT）","可以自行停用藥物","避免大量食用深綠色蔬菜","建議補充維生素K","C",null,[],"本題考點在於Warfarin的飲食與監測衛教。Warfarin為維生素K拮抗劑,深綠色蔬菜富含維生素K會拮抗其抗凝作用使療效不穩,故應維持攝取量恆定、避免忽然大量食用,選C。A錯誤,Warfarin監測的是凝血酶原時間(PT\u002FINR),APTT是用於監測heparin;B錯誤,抗凝血劑不可自行停藥,以免血栓復發;D錯誤,補充維生素K會抵銷Warfarin作用,並不適當。","口訣:Warfarin配PT\u002FINR、heparin配APTT。Warfarin抑制維生素K依賴凝血因子(II、VII、IX、X)的合成,故治療目標INR多控制在2~3。維生素K是其解毒劑,過量出血時可給予。衛教核心不是完全禁食綠葉蔬菜,而是「攝取量穩定」以維持INR平穩。",[24,27,30,32],{"term":25,"count":26},"Warfarin",4,{"term":28,"count":29},"維生素K",2,{"term":31,"count":10},"PT\u002FINR",{"term":33,"count":10},"深綠色蔬菜",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"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,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-medical-surgical-017","一位 74 歲男性，因胸痛數次到醫院檢查，檢驗報告 LDH1\u002FLDH2＞1；CK-MB 460 U\u002FL；Troponin I 15.0 ng\u002FmL； K + 3.0 mEq\u002FdL，有關其檢驗報告的判讀，下列何者正確？",17,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-2-medical-surgical-011","下列何者為骨質疏鬆的危險因子？①停經前之婦女 ②攝取大量咖啡茶飲 ③規律的運動 ④靜態生活或長期臥床 ⑤日曬時間不足",11,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-009","王先生因直腸癌入院手術，醫師採用腹部會陰切除術及結腸造口術，術後 1 個月，教導王先生自我執行結腸灌洗之護理指導，下列何者錯誤？",9,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-053","當發現胸腔術後病人的胸腔水下引流系統的水封瓶內出現大量氣泡時之處置，下列何者最適當？",53,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-2-medical-surgical-007","有關腦瘤之敘述，下列何者正確？①腦膜瘤好發於男性 ②續發性腦瘤常見於肺癌或乳癌病人 ③突然的發作抽搐是腦瘤的明顯指標 ④星狀細胞瘤好發於女性",7,108,"2026-09-04",1788510750391]