[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-108-1-內外科護理學-041","nurse-108-1-medical-surgical-041",108,1,41,"王太太 50 歲，診斷為急性白血病，入院行高劑量 Ara-C 化學治療後，白血球 3,500\u002Fcumm、嗜中性球為 13%，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"王太太屬輕度白血球低下，應提供居家照護護理指導後辦理出院","王太太正處於嗜中性白血球低下（neutropenia）的階段","王太太沒有發燒、呼吸急促或解尿困難等症狀，表示未感染，出院後自行觀察即可","王太太的口腔黏膜、肛門黏膜和侵入性導管置入處不可能會發生感染","B",null,[],"本題考點在於用嗜中性球絕對值（ANC）判讀骨髓抑制程度。ANC＝白血球總數×嗜中性球百分比，故本題 3,500×13%≒455／μL。依教科書分級，ANC 低於 500／μL 屬嚴重嗜中性白血球低下，感染風險最高，選 B。（A）錯在此為嚴重而非輕度低下，屬保護隔離對象，不可貿然出院。（C）錯在嗜中性球極低時發炎反應被抑制，感染早期可無發燒等典型症狀，不能以無症狀判定未感染。（D）錯在口腔、肛門黏膜與導管置入處正是黏膜屏障破損、常見的感染門戶，並非不可能感染。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840744702]