[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-036":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-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。",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？",6,1783840785177]