[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-034":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-114-3-內外科護理學-034","nurse-114-3-medical-surgical-034",114,3,34,"有關心肌梗塞急性期處置，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"注射 Heparin 需密切監測凝血酶原時間（PT）","急性疼痛時，可使用 Aspirin","採取平躺姿勢可降低心臟負荷","ST 段上升型可於 12 小時內給予血栓溶解劑","D",null,[],"本題考點在於急性心肌梗塞(MI)的再灌流與急性期處置。正解D:ST段上升型心肌梗塞(STEMI)若無法即時行心導管,可於症狀發作12小時內給予血栓溶解劑以溶解冠狀動脈血栓、恢復再灌流,時間窗正確故最適當。A錯誤,未分餾Heparin應監測活化部分凝血活酶時間(aPTT)而非凝血酶原時間(PT);B錯誤,Aspirin為抗血小板藥,緩解MI急性劇痛應用嗎啡(morphine)類而非以Aspirin止痛;C錯誤,急性期宜採半坐臥(Fowler's)以減少靜脈回流與心肌耗氧,平躺反而增加心臟負荷。故選D。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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？",6,1783840785155]