[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-內外科護理學-025","nurse-113-1-medical-surgical-025",113,1,25,"王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"骨髓抽取時採半身麻醉","骨髓抽取量約100 c.c.","骨髓抽取後不需平躺","骨髓抽出過濾後可立即輸注至受髓者體內","D",null,[],"本題考點在於骨髓捐贈者(供髓者)的照護。依骨髓移植流程,抽取的骨髓經過濾去除骨片與脂肪後,可直接經靜脈輸注給受髓者,幹細胞會自行歸巢至骨髓腔,故D正確。A錯誤,骨髓抽取通常採全身麻醉或脊髓麻醉,題目「半身麻醉」用語不精確且非首選描述;B錯誤,抽取量依受者體重計算,常達500~1000mL不等,約100mL過少;C錯誤,抽取後穿刺部位需平躺加壓止血一段時間,並非不需平躺。","傳統骨髓採集自後腸骨嵴(posterior iliac crest),需麻醉;現多改以周邊血幹細胞採集(PBSC)搭配G-CSF動員。輸注幹細胞後的「歸巢(homing)」是移植成功關鍵。捐者術後主要照護為穿刺處止血、觀察疼痛與失血。",[24,26,28,30],{"term":25,"count":10},"骨髓捐贈",{"term":27,"count":10},"幹細胞歸巢",{"term":29,"count":10},"骨髓過濾輸注",{"term":31,"count":10},"穿刺後止血",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-026","有關紅血球增多症病人之護理措施，下列何者錯誤？",26,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-022","一位正在接受胸壁放射治療的復發性乳癌病人表示：「吞嚥時感到疼痛，胸口有灼熱及緊繃感」。下列何者是病人因放射線治療導致最可能的結果？",22,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-016","下列何者為左心衰竭的臨床表徵？",16,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-014","有關急性膽囊炎相關的臨床評估，下列何者正確？",14,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-058","當病人出現大量化膿性濃稠痰液，且將痰液靜置於杯子內，會分成上層泡沫、中層清澈、下層濃稠，下列何者為其最可能之診斷？",58,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-medical-surgical-012","下列何者是造成腹膜炎常見的致病菌？",12,108,"2026-09-04",1788510750432]