[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-026","nurse-113-1-medical-surgical-026",113,1,26,"有關紅血球增多症病人之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"教導病人深呼吸及有效咳嗽，促進肺部擴張及通氣","告知病人儘量臥床休息，避免活動造成出血","鼓勵病人增加飲水量，每日至少3,000～4,000 mL","評估跌倒的危險因子並維護病人安全","B",null,[],"本題考點在於紅血球增多症(polycythemia)的護理,屬反向題,須找出錯誤者。此病紅血球過多使血液黏稠度升高、血栓風險增加,故應鼓勵適度活動與補充水分以稀釋血液、降低血栓,而非儘量臥床;長期臥床反而增加靜脈血栓(DVT)風險,故B錯誤。A正確,深呼吸咳嗽促進通氣;C正確,增加飲水降低血液黏稠度;D正確,血液黏稠影響腦部灌流可致頭暈,需評估跌倒風險。","真性紅血球增多症(polycythemia vera)常與JAK2基因突變有關,治療含放血(phlebotomy)、抗血小板藥。護理核心是「防血栓」:充足水分、適度活動、避免脫水。臥床制動是血栓三要素(Virchow triad中的血流滯緩)之一,故不宜。",[24,27,29,31],{"term":25,"count":26},"血液黏稠度",2,{"term":28,"count":10},"紅血球增多症",{"term":30,"count":10},"血栓風險",{"term":32,"count":10},"充足水分",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-027","葉女士手部遭魚刺刺傷，出現局部發紅、化膿的炎症反應，診斷為蜂窩性組織炎，下列護理措施何者正確？",27,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-023","有關體液容積過量之檢驗結果，下列敘述何者正確？①血比容下降 ②血尿素氮下降 ③血漿滲透壓上升 ④血鈉上升",23,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-017","有關心臟復健之敘述，下列何者正確？①依基礎代謝率（BMR）選擇活動內容 ②依代謝當量（MET）選擇活動內容 ③為增加心肺耐力，鼓勵做有氧運動 ④為加強肌肉力量，鼓勵等長運動",17,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-015","有關消化性潰瘍主要包括的病變部位，下列何者正確？①口腔潰瘍 ②食道潰瘍 ③胃潰瘍 ④十二指腸潰瘍",15,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-059","有關服用抗結核菌藥物（Rifampin）病人尿液之顏色，下列何者正確？",59,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-medical-surgical-013","病人主訴「左上腹疼痛，吃了東西後 1 小時更痛」，下列何者為其最可能之診斷？",13,108,"2026-09-04",1788510750436]