[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-111-2-內外科護理學-026","nurse-111-2-medical-surgical-026",111,2,26,"86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"宜選用機械性人工瓣膜，並需終身服用 Warfarin","宜選用生物性人工瓣膜，不需終身服用 Warfarin","宜選用機械性人工瓣膜，不需終身服用 Warfarin","宜選用生物性人工瓣膜，並需終身服用 Warfarin","B",null,[],"本題考點為人工心臟瓣膜選擇與抗凝劑的搭配原則,關鍵在於病人 86 歲高齡。機械性瓣膜耐久性佳但表面易形成血栓,須終身服用 Warfarin 抗凝;生物性瓣膜(如豬瓣、牛心包)血栓性低,通常僅需短期抗凝或不需終身抗凝,但耐用年限較短。高齡病人餘命較短、瓣膜耐久性問題較不重要,且可避免終身抗凝的出血風險與監測負擔,故宜選生物性瓣膜且不需終身服用 Warfarin,選 B。A、C 選機械瓣不適合高齡且 C 漏了必須抗凝;D 選生物瓣卻說要終身抗凝,與其低血栓特性矛盾,均錯誤。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840780371]