[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-3-基本護理學與護理行政-021","nurse-113-3-fundamental-nursing-021",113,3,21,"癌症病人接受化療後，抽血結果為 RBC 3.56×10 6 ，WBC 1200\u002Fmm 3 ，PLT 5000\u002FμL。下列口腔清潔用具何者最適當？",{"A":15,"B":16,"C":17,"D":18},"牙縫刷","牙籤棒","一般牙刷","海綿潔牙棒","D",null,[],"本題考點在於化療後骨髓抑制病人的口腔清潔用具選擇。判讀數據：WBC 1200\u002Fmm³ 屬嚴重白血球低下（免疫力極差易感染）、PLT 5000\u002FμL 遠低於正常 15 萬～40 萬（極高出血風險）。依此雙重狀況，口腔護理須避免任何造成黏膜刮傷出血或感染的器具，海綿潔牙棒質地柔軟、不傷牙齦黏膜，最適當，故選 D。A 牙縫刷與 B 牙籤棒質硬尖銳，易刺傷牙齦導致出血。C 一般牙刷刷毛仍可能刮傷脆弱黏膜、引發牙齦出血，在血小板極低時不宜。","血小板 \u003C2 萬有自發性出血風險，\u003C5 萬則任何機械刺激都可能出血，故本題以「不出血」為第一原則。白血球低下同時要求器具不製造黏膜破口以防感染入侵。臨床上化療病人口腔護理另建議用不含酒精的漱口水、軟毛具或海綿棒，避免使用牙線。記「血小板低看出血、白血球低看感染，兩者都選最溫柔的海綿棒」。",[25,28,30,32],{"term":26,"count":27},"血小板正常值",1,{"term":29,"count":27},"骨髓抑制",{"term":31,"count":27},"出血風險口腔護理",{"term":33,"count":27},"白血球低下感染防護",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-3-fundamental-nursing-022","癌症病人主訴身體疼痛不適，下列何者為護理師處理其疼痛問題的首要步驟？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-fundamental-nursing-018","有關神經病變性麻刺痛之疼痛輔佐劑（adjuvant drugs）的選擇，根據疼痛評估原則，PQRST 那一項目最適當？",18,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":27},"nurse-115-1-fundamental-nursing-012","下列何者為適用於鼻胃管灌食的藥物劑型？",12,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-fundamental-nursing-030","有關留鹽激素（Aldosterone）的敘述，下列何者錯誤？",30,106,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-107-2-fundamental-nursing-074","要達成群體目標時，民主式領導者較少藉助下列何項？",74,107,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-109-1-fundamental-nursing-028","有一醫囑：0.45% NaCl 每小時靜脈輸注 100 mL，擬以普通輸注套管（macrodrip，15 gtt\u002FmL）輸注，流速每分鐘應為幾滴？",28,109,"2026-09-04",1788510752097]