[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-024":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-024","nurse-113-3-medical-surgical-024",113,3,24,"林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","D",null,[],"本題考點在於急性骨髓性白血病(AML)骨髓抽吸術的護理,要求選出正確組合。③正確,骨髓抽吸常見穿刺部位為後腸骨嵴(posterior iliac crest)及胸骨;④正確,抽吸後須以砂袋加壓穿刺處止血、預防出血(白血病病人常血小板低),故③④組合為 D。①錯在抽吸術會施以局部麻醉以減輕疼痛,並非不用麻醉;②錯在骨髓檢查不只看白血球數目大小,而是評估各系血球的形態、比例、成熟度與癌細胞比率以判斷治療反應。本題屬骨髓檢查護理辨識題。","骨髓抽吸\u002F切片重點:部位後腸骨嵴最常用(胸骨僅抽吸不切片),局部麻醉下進行,抽吸瞬間有壓迫痛。術後加壓止血並臥床觀察,血小板低者尤須防出血血腫。檢查目的:診斷血液惡性疾病、評估細胞形態與比例、追蹤化療\u002F移植療效(如殘存癌細胞)。護理衛教:平躺加壓、觀察出血、保持穿刺處乾燥。",[24,27,30,32],{"term":25,"count":26},"局部麻醉",2,{"term":28,"count":29},"骨髓抽吸術",1,{"term":31,"count":29},"後腸骨嵴",{"term":33,"count":29},"術後砂袋加壓",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-medical-surgical-025","有關腔隙症候群（compartment syndrome）的臨床表徵，下列何者正確？①患肢有緊縮感 ②患肢脈搏減弱 ③止痛藥物能緩解疼痛 ④患肢比健肢冰冷",25,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-medical-surgical-021","有關瀕死期癌症病人之臨終關懷，下列敘述何者正確？",21,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-medical-surgical-015","有關病人使用青光眼用藥Timolol的護理指導，下列何者錯誤？",15,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-106-2-medical-surgical-033","有關化學治療靜脈給藥之敘述，下列何者正確？",33,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-2-medical-surgical-077","有關有機磷中毒臨床處置之敘述，下列何者錯誤？",77,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-medical-surgical-031","下列血脂肪之檢驗值何者不正常？",31,109,"2026-09-04",1788510752668]