[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-025":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":10},"nurse-113-2-內外科護理學-025","nurse-113-2-medical-surgical-025",113,2,25,"承上題，有關陳小弟接受化學治療的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"白血球的數目在化學治療後 4 週降至最低","血小板低於 20000\u002Fmm 2 ，使用牙刷及牙線清潔口腔","白血球小於 1000\u002Fmm 2 ，建議少量多餐禁食生食","疲倦是常見副作用之一，鼓勵陳小弟長時間平躺，勿下床活動","C",null,[],"本題考點在於白血病化療後骨髓抑制的護理指導。依感染防護原則,當白血球(尤其嗜中性球)低於 1000\u002Fmm³ 時免疫低下,應採少量多餐並禁生食(避免生菜、生魚、未削皮水果的菌量),以降低感染,故 C 正確。A 錯,化療後白血球最低點(nadir)多在給藥後約 7–14 天,並非 4 週。B 錯,血小板低於 20000\u002Fmm³ 時凝血差、易出血,應避免牙線與硬毛牙刷,改用軟毛或海綿棒。D 錯,疲倦時應鼓勵適度活動與間歇休息,長時間平躺不下床反增血栓與功能退化風險。整體以血球低下的感染與出血防護為核心。","化療骨髓抑制三線受影響:白血球↓(感染)、血小板↓(出血)、紅血球↓(疲倦)。中性球低下期採中性球減少飲食(避生食)、避免人潮與植物盆栽;血小板低下避侵入性口腔清潔與便秘用力。記憶:白血球低防感染(熟食),血小板低防出血(軟毛),疲倦要「動一點」。",[24,26,29,31],{"term":25,"count":10},"化療骨髓抑制",{"term":27,"count":28},"嗜中性球減少飲食",1,{"term":30,"count":28},"nadir 最低點時間",{"term":32,"count":28},"血小板低下出血防護",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-026","有關癌症病人使用干擾素治療之敘述，下列何者正確？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-medical-surgical-022","顆粒性白血球低下的癌症病人之食物選擇，下列何者最適切？",22,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-016","38 歲孕齡婦女，診斷為下肢深部靜脈栓塞，接受抗凝血劑 Heparin 注射治療，下列敘述何者最不適當？",16,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",64,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-028","病人主訴常有心悸的感覺，心尖脈速率 98 次\u002F分鐘，節律不規則，橈動脈脈搏次數為 80 次\u002F分鐘。下列何者為其最可能之診斷？",28,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-062","對於蔡先生在急診室測得的動脈血氧氣體分析結果：pH 7.25、PaCO 2 31 mmHg、HCO 3- 18 mEq\u002FL 之判讀，下列何者正確？",62,108,"2026-09-04",1788510755088]