[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-050":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-050","nurse-114-3-medical-surgical-050",114,3,50,"有關阻塞性黃疸的評估，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"因膽紅素進入腸道，導致糞便呈茶色","鹼性磷酸酶指數（alkaline phosphate, ALP）大於正常值","凝血酶原時間（PT）檢測正常","與輸血引起的溶血反應有關","B",null,[],"本題考點在於阻塞性(膽汁鬱積性)黃疸的檢驗特徵。正解B:膽道阻塞使膽汁排出受阻,膽道上皮的鹼性磷酸酶(ALP)大量釋出,故ALP會高於正常值,是阻塞性黃疸的重要指標。A錯誤,膽紅素無法經膽道進入腸道,糞便因缺乏膽色素而呈灰白「陶土色」,尿液才變深茶色,敘述方向相反;C錯誤,膽汁鬱積影響脂溶性維生素K的吸收,凝血因子合成不足使凝血酶原時間(PT)「延長」而非正常;D錯誤,與輸血溶血反應有關的是「溶血性」黃疸(間接膽紅素上升),而非阻塞性。故選B。",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？",6,1783840785300]