[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-018","nurse-114-3-medical-surgical-018",114,3,18,"病人因身體多處不明原因出血進行骨髓抽吸檢查，下列敘述何者最適當？①檢查目的在了解骨髓組織、造血組織是否正常 ②可診斷是否為白血病 ③大多由脛骨進行抽取 ④大多需全身麻醉進行",{"A":14,"B":15,"C":16,"D":17},"①②","②③","①④","③④","A",null,[],"本題考點在於骨髓抽吸檢查的目的與操作。考點在於檢查用途與部位:①骨髓抽吸可了解骨髓與造血組織是否正常;②可用於診斷白血病等血液惡性疾病,故正確組合為①②,選 A。③『大多由脛骨進行抽取』錯誤,成人骨髓抽吸最常選擇後上髂骨嵴(腸骨),其次胸骨,脛骨僅用於嬰幼兒。④『大多需全身麻醉』錯誤,骨髓抽吸一般採局部麻醉即可,不需全身麻醉。含③或④的 B、C、D 皆不成立,唯①②正確,因此答案為①②。","骨髓檢查含抽吸(aspiration)取得細胞學檢體與環鑽切片(biopsy)保留組織結構,用於診斷白血病、淋巴瘤、再生不良性貧血、骨髓瘤與轉移癌,以及評估造血功能。成人首選部位為髂後上棘,局部麻醉下進行,術後加壓止血並臥床觀察出血。記憶:成人抽髂骨、小孩抽脛骨,局麻即可,別誤以為要全身麻醉。",[24,27,30],{"term":25,"count":26},"骨髓抽吸檢查",2,{"term":28,"count":29},"髂骨嵴穿刺部位",1,{"term":31,"count":29},"白血病診斷",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-019","針對正在接受化學治療病人的護理指導，下列敘述何者最不適當？",19,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-115-2-medical-surgical-015","有關喉癌病人行全喉切除術後之敘述，下列何者正確？",15,115,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-106-1-medical-surgical-059","林先生，30 歲，無特殊疾病，因發燒、小便混濁及急性後背腰痛到急診，發現有尿道感染及輸尿管結石 0.5 cm，有關此急性期之護理措施，下列何者錯誤？",59,106,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-medical-surgical-017","有關骨折病人使用勃克式牽引（Buck’s traction）的敘述，下列何者錯誤？",17,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-108-2-medical-surgical-061","尿流速之檢查結果，最大尿流速為 8 mL\u002F秒，下列何者為最可能之診斷？",61,108,{"webId":58,"stem":59,"number":40,"year":60,"session":29},"nurse-110-1-medical-surgical-015","有關急性胰臟炎之相關檢驗項目的結果，下列何者正確？",110,"2026-09-04",1788510761994]