[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-020","nurse-113-3-medical-surgical-020",113,3,20,"有關機械性人工心瓣膜特性之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"僅需要接受短期之抗凝血藥物治療","金屬材質耐用性較高","比較不容易形成血栓","適合有出血傾向病人使用","B",null,[],"本題考點在於機械性(金屬)人工心瓣膜相對於生物瓣膜的特性。機械瓣膜以金屬材質製成,最大優點是耐用性高、使用壽命長,適合年輕病人,故 B 正確。A 錯在機械瓣膜易致血栓形成,須「終生」服用抗凝血劑(如 warfarin)而非短期;C 錯在機械瓣膜表面易誘發血栓,是「較容易」形成血栓,故才需長期抗凝;D 錯在因需終生抗凝,反而「不適合」有出血傾向或無法配合抗凝監測者,這類病人較適用生物瓣膜。本題屬心瓣膜置換衛教辨識題。","機械 vs 生物瓣膜取捨:機械瓣耐用(可用數十年)但需終生 warfarin 抗凝並定期監測 INR(易血栓);生物瓣(豬\u002F牛心包)血栓風險低、多免長期抗凝,但耐用性差(約 10～15 年退化)。選擇考量年齡、出血風險、能否配合抗凝。年輕、能規律監測者選機械瓣;年長、有出血風險或計畫懷孕者選生物瓣。記憶:機械=耐用但要抗凝一輩子。",[24,27,30,32],{"term":25,"count":26},"warfarin",2,{"term":28,"count":29},"機械性人工心瓣膜",1,{"term":31,"count":29},"終生抗凝治療",{"term":33,"count":29},"生物瓣膜比較",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-021","有關化學藥品 vincristine（Oncovin ® ）輸注之藥物準備過程，下列何者不適當？",21,{"webId":40,"stem":41,"number":42,"year":43,"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":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-medical-surgical-011","病人因左側股骨骨折而接受石膏制動之治療，下列敘述何者錯誤？",11,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-medical-surgical-029","有關心律不整之治療，下列何者正確？",29,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-2-medical-surgical-073","有關康氏症候群（Conn’s syndrome）之臨床表徵，下列何者正確？",73,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-medical-surgical-027","有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",27,109,"2026-09-04",1788510752622]