[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-036","nurse-114-3-medical-surgical-036",114,3,36,"有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"需監測凝血酶原時間（PT）","避免食用富含維生素 K 的食物","需觀察皮膚有無出現出血點或紫斑","此藥物有助於溶解血栓","D",null,[],"本題考點在於Warfarin的藥理作用機轉。本題為反向題,要選錯誤敘述。錯誤者為D:Warfarin屬香豆素類「抗凝血劑」,經抑制維生素K依賴凝血因子(II、VII、IX、X)的合成來預防血栓形成或擴大,並不能「溶解」已存在的血栓(溶栓需血栓溶解劑如t-PA),故D不當。A正確,Warfarin需監測凝血酶原時間(PT\u002FINR)以調整劑量;B正確,富含維生素K的深綠色蔬菜會拮抗其作用、降低藥效,攝取量應穩定;C正確,抗凝過度會出血,須觀察皮膚出血點或紫斑等出血徵象。故選D。","區分三類藥:抗血小板(Aspirin)、抗凝血(Heparin監測aPTT、Warfarin監測PT\u002FINR)、血栓溶解(t-PA、Streptokinase才能溶解既成血栓)。Warfarin起效慢(數天),常與Heparin橋接。維生素K為其解毒劑。記憶:「Warfarin防、不溶;吃菜要穩、驗PT」。",[24,27,29,32],{"term":25,"count":26},"維生素K拮抗",2,{"term":28,"count":26},"PT\u002FINR監測",{"term":30,"count":31},"Warfarin抗凝血劑",1,{"term":33,"count":31},"抗凝與溶栓之別",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-037","有關低血容性休克分期的進行期，下列敘述何者最不適當？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-033","黃先生因肺癌接受右全肺切除術（pneumonectomy），下列術後護理措施，何者最適當？①需確認術後胸腔水下引流系統是完整且功能正常 ②協助執行右側肩膀及手臂運動，以防關節黏滯導致冰凍肩 ③告知術後 3～6 個月，右側胸部傷口處肌肉較無力是正常的 ④教導術後盡量採左側躺，以利於剩餘肺臟的擴張",33,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-medical-surgical-077","有關食物中毒後有腦部神經症狀，包括複視、眼瞼下垂、視力模糊、吞嚥困難是屬於下列那一類食物中毒？",77,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-035","有關深部血栓靜脈炎病人之護理措施，下列何者不適當？",35,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-medical-surgical-079","有關霍亂的症狀與治療之敘述，下列何者錯誤？",79,108,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-medical-surgical-033","有關心臟循環動力學的敘述，下列何者錯誤？",110,"2026-09-04",1788510762163]