[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-026","nurse-115-1-medical-surgical-026",115,1,26,"有關成年惡性淋巴瘤病人接受骨髓穿刺抽吸術檢查之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"穿刺部位宜選擇肋骨、脊椎或脛骨","檢查結果有助於了解造血組織有無異常","穿刺部位以紗布敷蓋並至少直接加壓5分鐘以上","檢查後要注意是否有出血或感染","A",null,[],"本題考點是成人骨髓穿刺抽吸術的部位選擇與術後照護。骨髓穿刺須選擇表淺、紅骨髓豐富且不鄰近重要器官的部位，成人首選後上髂骨脊，其次為胸骨；脛骨僅用於骨髓腔仍具旺盛造血功能的嬰幼兒，而肋骨薄且緊鄰肺臟、脊椎內有脊髓與硬脊膜，均非穿刺部位，故A為錯誤敘述。B正確，骨髓是造血組織，抽吸標本可判讀造血功能及淋巴瘤是否侵犯骨髓。C正確，血液惡性疾病常伴血小板偏低，拔針後須以紗布直接加壓五分鐘以上確認止血。D正確，穿刺屬侵入性操作，術後仍須觀察穿刺處出血、血腫與感染徵象。","骨髓穿刺與骨髓活體切片常一併進行：抽吸取的是液狀骨髓，看細胞形態與比例；切片取的是骨小樑結構，看細胞密度與纖維化，兩者互補。惡性淋巴瘤做骨髓檢查的目的是分期，一旦骨髓被侵犯即屬第四期，直接影響治療強度，這也是本題把「了解造血組織有無異常」列為正確選項的理由。部位選擇的記憶邏輯是「摸得到骨突、底下有紅骨髓、下方沒有肺與大血管」，成人紅骨髓集中在中軸骨與骨盆，故髂骨脊最理想；胸骨雖表淺但後方即為心臟大血管，只在必要時使用且進針深度受限。年齡因素可對比記憶：新生兒與幼兒紅骨髓分布廣，脛骨近端可用；隨年齡增長四肢長骨轉為黃骨髓，成人便不再取脛骨。可延伸複習骨髓抑制期的血球低下時序與淋巴瘤分期系統。",[24,26,28,30,32],{"term":25,"count":10},"骨髓穿刺部位",{"term":27,"count":10},"紅骨髓分布",{"term":29,"count":10},"後上髂骨脊",{"term":31,"count":10},"淋巴瘤骨髓侵犯分期",{"term":33,"count":10},"穿刺後止血照護",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-medical-surgical-027","王先生常年受過敏所苦，想要知道那種過敏原引起過敏反應，下列何項診斷檢查最合適？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-medical-surgical-023","有關美尼爾氏症的處置，下列何者錯誤？",23,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-medical-surgical-037","有關缺鐵性貧血口服鐵劑護理措施的敘述，下列何者錯誤？",37,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-107-2-medical-surgical-075","有關甲狀腺機能亢進症之臨床表徵，下列何者錯誤？",75,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-medical-surgical-039","有關癌症病人發生口腔炎之護理指導，下列何者錯誤？",39,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-medical-surgical-073","有關糖尿病足之護理指導，下列何者正確？",73,110,"2026-08-06",1787299088804]