[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-021":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-021","nurse-114-3-medical-surgical-021",114,3,21,"有關真性紅血球增多症常見的併發症，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"栓塞","出血","痛風","感染","D",null,[],"本題考點在於真性紅血球增多症的常見併發症,本題為反向題,問「最不適當」者。考點在於病生理:此症骨髓過度製造紅血球使血液濃稠、血流變慢,易導致栓塞與出血,並因細胞代謝旺盛使尿酸升高而引發痛風,故 A 栓塞、B 出血、C 痛風皆為典型併發症;而感染並非其主要併發症,因此最不適當者為 D 感染,選 D。真性紅血球增多症的核心問題是紅血球與血容量增加造成的血液黏稠與凝血異常,並非免疫低下導致的感染傾向,故將感染列為常見併發症最不適當。","真性紅血球增多症屬骨髓增生性腫瘤,多與 JAK2 基因突變有關,血比容升高使血液黏稠、微循環障礙,增加動靜脈栓塞(中風、心肌梗塞、深部靜脈栓塞)風險;血小板功能異常則可致出血;高細胞更新使尿酸堆積引發痛風。治療含放血療法、低劑量阿斯匹靈與降細胞藥物。記憶:『稠→塞與血、快代謝→痛風』,感染不是它的主戲。",[24,27,30],{"term":25,"count":26},"真性紅血球增多症",2,{"term":28,"count":29},"血液黏稠致栓塞出血",1,{"term":31,"count":29},"尿酸升高與痛風",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-022","腫瘤及組織病理分期 T x N 1 M 0 、G 4 其代表之意義，下列敘述何者最不適當？",22,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-115-2-medical-surgical-018","有關急性心肌梗塞後病人的運動原則，下列敘述何者錯誤？",18,115,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-106-1-medical-surgical-062","趙小姐有長期反覆性尿道感染的病史，健檢時發現有鹿角結石約 5 cm，下列敘述何者錯誤？",62,106,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-medical-surgical-020","有關截肢病人的照護，下列何者錯誤？",20,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-108-2-medical-surgical-064","蔡先生目前正處於少尿期，其生化檢驗可能產生的變化，不包括下列何者？",64,108,{"webId":58,"stem":59,"number":40,"year":60,"session":29},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",110,"2026-09-04",1788510762026]