[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-3-內外科護理學-008","nurse-113-3-medical-surgical-008",113,3,8,"接受經肝動脈化學栓塞術病人的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"術前不需要禁食","門靜脈阻塞者為其適應症","術後需定期監測肝臟功能","術後鼓勵立即翻身活動","C",null,[],"本題考點在於經肝動脈化學栓塞術(TACE)的照護原則。依 TACE 護理,栓塞會影響肝臟血流並可能造成栓塞後症候群與肝功能受損,故術後須定期監測肝臟功能(如 AST、ALT、膽紅素),屬正確敘述,選 C。A 錯在術前須禁食,因屬侵入性導管術、可能鎮靜或引起噁心;B 錯在門靜脈主幹阻塞會使肝臟血流灌注不足,栓塞肝動脈恐致肝衰竭,列為禁忌而非適應症;D 錯在經股動脈穿刺後須臥床、穿刺側肢體制動加壓數小時止血,不可立即翻身活動。本題屬介入治療護理辨識題。","TACE 原理:肝腫瘤 90% 血供來自肝動脈,正常肝組織主要靠門靜脈,故栓塞肝動脈可選擇性餓死腫瘤並釋放化療藥。因此門靜脈需保持通暢才安全,門靜脈栓塞者為禁忌。栓塞後症候群:發燒、右上腹痛、噁心,多為自限性。監測肝功能與穿刺處止血是術後兩大護理重點。",[24,27,30,32],{"term":25,"count":26},"栓塞後症候群",2,{"term":28,"count":29},"經肝動脈化學栓塞術",1,{"term":31,"count":29},"肝動脈供血",{"term":33,"count":29},"門靜脈通暢",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-009","有關副甲狀腺功能亢進之敘述，下列何者正確？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-medical-surgical-005","有關病人因頸椎脊髓損傷處於脊髓休克期的敘述，下列何者錯誤？",5,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-3-medical-surgical-049","有關泌尿道感染，下列敘述何者最適當？①確立診斷是指尿液培養每毫升菌落>10 5 個 ②上泌尿道感染是指尿道炎及膀胱炎 ③膀胱炎常見的致病菌為大腸桿菌 ④症狀改善或沒發燒即可停用抗生素",49,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-2-medical-surgical-017","有關骨折癒合及治療之敘述，下列何者錯誤？",17,106,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-107-2-medical-surgical-061","有關鹿角結石之敘述，下列何者錯誤？",61,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-109-1-medical-surgical-015","肝穿刺切片檢查時，為避免橫膈穿孔與肝臟撕裂傷，教導病人當針頭插入肝臟時應採取的動作，下列何者正確？",15,109,"2026-09-04",1788510752495]