[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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,"explanationDeep":22,"topics":23,"freq":10},"nurse-115-1-內外科護理學-017","nurse-115-1-medical-surgical-017",115,1,17,"有關血栓性靜脈炎之評估與照護原則，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人足背屈曲時，腓腸肌會產生疼痛","口服Coumadin可預防及治療靜脈血栓","應定期按摩病人患肢，以促進靜脈循環","協助病人抬高患肢，可減輕炎症及疼痛","C",null,[],"本題考點是深層靜脈血栓的照護禁忌。依血栓的物理性質,患肢按摩或用力擠壓會使尚未穩固附著的血栓脫落,隨靜脈血流經右心進入肺動脈造成肺栓塞,屬致命併發症,因此患肢禁按摩,C 為錯誤敘述。A 正確:足背屈曲時腓腸肌疼痛即 Homan 氏徵象,反映小腿深層靜脈發炎。B 正確:Coumadin 屬口服抗凝血劑,抑制維生素 K 依賴凝血因子合成,用於預防血栓延伸與再發。D 正確:抬高患肢可藉重力促進靜脈回流,減輕腫脹與發炎引起的疼痛。","血栓形成依 Virchow 三要素:血流滯留、血管內膜損傷與血液凝固性增高,故長期臥床、術後、骨盆腔手術、口服避孕藥與惡性腫瘤都是危險因子。臨床線索為單側小腿腫脹、壓痛、發熱與兩側腿圍差異,診斷以靜脈超音波為主。抗凝血用藥的監測分工要背清楚:heparin 看部分凝血活酶時間(aPTT)、warfarin 看凝血酶原時間與國際標準化比值(INR),解毒劑分別是硫酸普羅他明與維生素 K。預防重點是早期下床、足踝運動、彈性襪與間歇性氣壓裝置。延伸複習:突發呼吸急促與胸痛應警覺肺栓塞。",[24,26,28,30],{"term":25,"count":10},"深層靜脈血栓",{"term":27,"count":10},"肺栓塞風險",{"term":29,"count":10},"Homan 氏徵象",{"term":31,"count":10},"Coumadin 抗凝血作用",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-018","有關慢性靜脈功能不全引起的鬱滯性潰瘍（stasis ulcer）的肢體評估，下列敘述何者正確？①潰瘍部位多發生於足踝內側       ②皮膚出現色素沉著   ③肢體呈現凹陷性水腫   ④趾甲變厚   ⑤腳趾潰瘍",18,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-014","有關急性膽囊炎相關的臨床評估，下列何者正確？",14,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-028","有關高血壓病人之日常生活護理指導，下列何者正確？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-066","梁先生每週一、三、五下午 1 點至 5 點接受血液透析，因腎性貧血服用維生素 C 與葉酸，其服用時間下列何者正確？",66,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-030","有關二尖瓣閉鎖不全或逆流所產生之心雜音，在心動周期出現的時間，下列何者正確？",30,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-064","有關膀胱癌的診斷檢查與治療，下列何者錯誤？",64,110,"2026-08-06",1787299088703]