[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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":26},"nurse-106-2-內外科護理學-057","nurse-106-2-medical-surgical-057",106,2,57,"肺炎病人接受抗生素治療，下列何者表示抗生素已發揮作用？",{"A":14,"B":15,"C":16,"D":17},"周邊血氧濃度降低","胸部 X 光檢查實質化部位增加","血中全血球計數數量增加","體溫降低及濃痰減少","D",null,[],"本題考點為判斷肺炎抗生素治療是否有效的臨床指標。抗生素奏效代表感染受控,應見發炎反應消退:體溫下降、痰量減少變稀、白血球回降、血氧改善、X 光浸潤消退,故 D『體溫降低及濃痰減少』正確。A 周邊血氧濃度降低代表氣體交換惡化,是病情變差;B 胸部 X 光實質化(consolidation)部位增加代表浸潤擴大、惡化;C 全血球計數(尤其白血球)增加代表感染仍在進行或加重。皆為療效不佳的表現,唯 D 反映感染受控,故選 D。","評估抗生素療效看『發炎與感染指標是否回落』:退燒、白血球與 CRP 下降、痰量減少且轉稀轉清、SpO₂ 回升、X 光浸潤吸收。惡化指標則相反。臨床通常給藥後 48–72 小時再評估反應。口訣:『燒退、痰少、白血球降、片子變乾淨=藥有效』。",[24,27,29,32,34],{"term":25,"count":26},"白血球計數",3,{"term":28,"count":10},"肺炎",{"term":30,"count":31},"抗生素療效指標",1,{"term":33,"count":31},"胸部 X 光實質化",{"term":35,"count":31},"發炎反應消退",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-medical-surgical-058","下列何者為檢測腎絲球過濾率的最佳指標？",58,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-107-1-medical-surgical-074","有關淋巴瘤的國際性預後指標，下列何者錯誤？",74,107,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-108-1-medical-surgical-008","有關肌無力症病人發生疑似膽鹼性危象（cholinergic crisis）時的處置，下列何者適當？①增加抗膽鹼酯酶藥物 ②停止使用 Pyridostigmine（Mestinon） ③由靜脈注射 atropine ④由靜脈注射類固醇",8,108,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-109-1-medical-surgical-046","有關治療類風濕性關節炎使用之藥物，下列何者不適當？",46,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-110-2-medical-surgical-010","有關腸造瘻口護理指導的敘述，下列何者錯誤？",10,110,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-2-medical-surgical-044","18 歲女大生因玩煙火，導致左手有部分燒痂到急診求診，對燒傷部位的立即護理處置，下列何者正確？",44,111,"2026-09-04",1788510698789]