[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-2-基本護理學與護理行政-012","nurse-115-2-fundamental-nursing-012",115,2,12,"服用 Warfarin 的病人，須注意藥物與食物之交互作用，下列何者最適當？",{"A":15,"B":16,"C":17,"D":18},"鼓勵增加柑橘類和菠菜等深綠色蔬菜","避免增加菠菜等深綠色蔬菜和蛋黃、動物內臟","避免增加豆類及豆製品的攝取，但鼓勵攝取動物內臟","鼓勵增加柑橘類，但避免豆類及豆製品的攝取","B",null,[],"本題考點是 Warfarin 與維生素 K 的拮抗作用。Warfarin 屬維生素 K 拮抗劑,抑制維生素 K 環氧化物還原酶,使凝血因子 II、VII、IX、X 無法完成活化;因此突然大量攝取富含維生素 K 的食物會抵銷抗凝血效果,深綠色蔬菜如菠菜與蛋黃、動物內臟正是高維生素 K 來源,故以避免驟增這類食物、維持每日攝取量穩定最為適當,選 B。A 方向相反,增加深綠色蔬菜會削弱藥效。C 一方面鼓勵動物內臟,同樣造成拮抗。D 把焦點放在限制豆類,並非此藥交互作用的核心。","監測指標是 PT 與 INR,一般抗凝目標約在 2 至 3 之間;維生素 K 攝取過多會使 INR 偏低而增加血栓風險,攝取驟減或併用增強藥效的藥物則使 INR 偏高而增加出血風險。關鍵字是穩定而非完全禁食,因為長期一口綠色蔬菜都不吃同樣讓 INR 難以調控。增強作用者常見 aspirin、NSAIDs、部分抗生素與銀杏、當歸;減弱作用者為維生素 K 與聖約翰草。與新型口服抗凝劑不同,Warfarin 的解毒劑正是維生素 K1。",[25,27,30,32],{"term":26,"count":11},"INR 監測",{"term":28,"count":29},"Warfarin 維生素 K 拮抗劑",1,{"term":31,"count":29},"凝血因子 II VII IX X",{"term":33,"count":29},"藥物與食物交互作用",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-fundamental-nursing-013","扁桃腺手術後，醫囑開立冰領使用，有關冷應用與照護的敘述，下列何者正確？",13,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-106-1-fundamental-nursing-059","運用「腦力激盪法、德爾菲技術」，是屬下列何種決策？",59,106,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-106-2-fundamental-nursing-073","單位主管要求每位員工每月須從事 4 小時之義工服務，員工雖不滿但仍配合，此乃主管具有下列何種權力？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-1-fundamental-nursing-031","張太太產後 4 小時，無法自解小便，護理人員欲協助誘尿，下列何種方式錯誤？",31,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-109-1-fundamental-nursing-075","有關護理資訊系統的敘述，下列何者錯誤？",75,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-110-2-fundamental-nursing-029","一位 10 公斤重的病童，服用 Amolin susp. ○ R （amoxicillin） 30 mg\u002Fkg q12h P.O. ，藥瓶標籤顯示 25 mg\u002FmL、 60 mL\u002F瓶，單次給藥劑量應為多少？",29,110,"2026-08-06",1787299031528]