[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-025":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-109-1-內外科護理學-025","nurse-109-1-medical-surgical-025",109,1,25,"一位 26 歲新婚女性，有計畫懷孕，近日因心臟不適，經醫師診斷二尖瓣狹窄，並建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用之敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"宜選用機械性人工瓣膜，並需服用 warfarin","宜選用生物性人工瓣膜，不可服用 warfarin","宜選用機械性人工瓣膜，不可服用 warfarin","宜選用生物性人工瓣膜，並需服用 warfarin","B",null,[],"本題考點在於育齡計畫懷孕婦女的人工瓣膜選擇與抗凝劑安全。Warfarin為口服抗凝劑具致畸胎性，懷孕期禁用；機械性瓣膜需終身服warfarin抗凝以防血栓，對計畫懷孕者不利。故此病人宜選生物性人工瓣膜，因其不需長期抗凝，可避免warfarin風險，選B。選項A機械瓣需warfarin，與懷孕衝突；選項C機械瓣卻不服warfarin會致瓣膜血栓，危險；選項D生物瓣通常不需長期warfarin，卻加上warfarin，不合適。故最適當為生物瓣且不用warfarin。",[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？",6,1783840747415]