[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-3-內外科護理學-016","nurse-114-3-medical-surgical-016",114,3,16,"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？",{"A":14,"B":15,"C":16,"D":17},"避免自行按摩腿部","避免使用口服避孕藥","避免食用深色蔬菜","避免長期久坐","C",null,[],"本題考點在於下肢深部靜脈栓塞接受 Heparin 治療的護理指導,本題為反向題,問「最不適當」者。考點在於藥理機轉與飲食關係:Heparin 直接抑制凝血酶,其作用不受食物中維生素 K 影響,需限制深色蔬菜(富含維生素 K)的是口服抗凝劑 Warfarin,故『避免食用深色蔬菜』對 Heparin 病人不適當,錯誤敘述為 C,選 C。A 避免自行按摩患肢以防栓子脫落造成肺栓塞,正確。B 避免口服避孕藥,因雌激素會增加血栓風險,正確。D 避免長期久坐以促進靜脈回流,正確。四者中唯 C 混淆了藥物機轉,因此最不適當。","Heparin 經增強抗凝血酶Ⅲ活性而抑制凝血酶與第十因子,起效快、以 aPTT 監測;維生素 K 拮抗發生於 Warfarin,後者才需維持深綠蔬菜攝取穩定並以 INR 追蹤。DVT 護理含抬高患肢、避免按摩、漸進式活動、使用彈性襪、觀察出血徵象與肺栓塞症狀(突發胸痛、呼吸困難)。記憶:『菜怕的是 Warfarin,不是 Heparin』,別把兩者的飲食限制張冠李戴。",[24,27,29],{"term":25,"count":26},"Heparin 抗凝機轉",1,{"term":28,"count":26},"維生素 K 與 Warfarin",{"term":30,"count":26},"深部靜脈栓塞護理",[32,36,42,47,52,57],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-3-medical-surgical-017","58 歲中年婦女，平日血壓約為 138\u002F88 mmHg，沒有糖尿病與其他心血管疾病，BMI 為 30 kg\u002Fm 2 ，飲食偏好重油滷肉類食物，沒有抽菸與喝酒習慣，日常活動多為家務勞動，下列敘述何者最不適當？",17,{"webId":37,"stem":38,"number":39,"year":40,"session":41},"nurse-115-2-medical-surgical-013","有關病人接受白內障手術後 1 個月內之護理指導，下列何者不適當？",13,115,2,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-106-1-medical-surgical-057","使用下列那一種肺結核治療藥物不需監測肝功能？",57,106,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-107-2-medical-surgical-015","有關肝硬化主要之合併症，下列何者錯誤？",15,107,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-108-2-medical-surgical-059","下列何項實驗室檢查結果最能顯示腎臟功能受損？",59,108,{"webId":58,"stem":59,"number":39,"year":60,"session":26},"nurse-110-1-medical-surgical-013","有關食道弛緩不能（Esophageal achalasia）的敘述，下列何者正確？",110,"2026-09-04",1788510761978]