[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":25},"nurse-106-2-內外科護理學-073","nurse-106-2-medical-surgical-073",106,2,73,"有關診斷敗血症之檢驗項目，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"細菌培養","白血球計數","C-反應蛋白","血糖","D",null,[],"本題考點在敗血症的診斷性檢驗指標。敗血症是感染引發的全身性發炎反應，診斷依據著重「找到病原」與「量化發炎程度」。細菌培養（A）用以確認病原並指引抗生素，白血球計數（B）反映感染時白血球升高或嚴重時反降，C-反應蛋白（C）為急性發炎指標，三者皆與敗血症直接相關。血糖（D）雖在敗血症可因壓力性反應而上升，但它並非診斷敗血症的檢驗項目，缺乏特異性，故為錯誤選項、選 D。題目問「何者錯誤」，即挑出不屬於敗血症診斷用途者。","延伸：敗血症相關生物標記還包括 procalcitonin（PCT，對細菌感染較特異）、乳酸（lactate，反映組織灌流不足與嚴重度，敗血性休克指標之一）。CRP 與 PCT 差異——CRP 敏感但非特異，PCT 對細菌性敗血症鑑別力較佳。qSOFA 快速評估三項（意識改變、收縮壓≤100 mmHg、呼吸≥22 次／分）可床邊篩檢。血糖屬監測項目而非診斷依據，此為本題設陷阱處：常見檢驗未必等於診斷檢驗。",[24,26,29,31,33],{"term":15,"count":25},3,{"term":27,"count":28},"敗血症診斷",1,{"term":30,"count":28},"血液細菌培養",{"term":32,"count":28},"C-反應蛋白CRP",{"term":34,"count":28},"乳酸與procalcitonin",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-074","有關促進中毒物質排出之方法，不包括下列何者？",74,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-2-medical-surgical-010","與幽門螺旋桿菌（Helicobacter pylori）感染有關的胃部疾病，下列何者正確？①A 型慢性胃炎 ②B 型慢性胃炎 ③消化性潰瘍 ④急性胃炎 ⑤胃食道逆流",10,107,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-108-1-medical-surgical-024","有關喉癌手術後發聲及吞嚥功能改變之敘述，下列何者錯誤？",24,108,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-109-1-medical-surgical-062","張先生，68 歲，罹患糖尿病、高血壓，冠心症長期服用降血糖藥物、抗凝血劑及高血壓藥物，但血壓仍維持在 150～170／90～110 mmHg。近日因血尿、下肢水腫、發燒而入院，住院期間病人不宜接受下列何項診斷性檢查？",62,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-026","使用 Warfarin（Coumadin ○ R ）預防深部靜脈栓塞（deep vein thrombosis, DVT）之護理指導，下列何者正確？①需定期監測凝血酶原時間（PT） ②鼓勵多攝取銀杏、當歸 ③若出現血尿是正常的現象不需理會 ④宜使用電動刮鬍刀",26,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-060","王先生因慢性腎臟病正服用血管收縮素轉化酶抑制劑（ACEI），有關 ACEI 的敘述，下列何者錯誤？.",60,111,"2026-09-04",1788510698951]