[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-054":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":27},"nurse-107-1-基本護理學與護理行政-054","nurse-107-1-fundamental-nursing-054",107,1,54,"有關純蛋白衍化物試驗（purified protein derivative, PPD test），下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"目的為找出過敏原","最常用的注射部位為前臂中段內側","適用於氣喘病人之診斷","採用 Z 型注射","B",null,[],"本題考點是結核菌素試驗（PPD test）的操作與判讀原理。依皮內注射常規，PPD 是將結核菌素注入表皮下形成小水泡，以檢測是否曾感染結核桿菌並產生第四型遲發性過敏反應，最常用注射部位為前臂中段內側（掌側），因該處毛髮少、皮膚薄利於觀察硬結，故 B 正確。A 錯在目的：PPD 是篩檢結核感染，並非找出過敏原。C 錯在適應症：PPD 與氣喘診斷無關，氣喘屬第一型過敏，兩者機轉不同。D 錯在注射法：PPD 為皮內注射，Z-track 是深部肌肉注射用於刺激性藥物，兩者途徑不同。","PPD 屬第四型（遲發型、細胞媒介）過敏，故須 48–72 小時後判讀『硬結（induration）』直徑而非紅斑，一般 ≥10 mm 為陽性（免疫低下者標準放寬）。皮內注射四要點：15 度進針、注入 0.1 mL 形成 6–10 mm 白色小水泡、不可揉、記錄部位以利判讀。四種注射角度口訣：皮內 15 度、皮下 45 度、肌肉 90 度、Z-track 走位封藥。把 PPD 與 Z-track 對比即可破解 D 這種『混淆注射途徑』的誘答。",[25,28,30,32],{"term":26,"count":27},"皮內注射",2,{"term":29,"count":11},"結核菌素試驗",{"term":31,"count":11},"第四型過敏反應",{"term":33,"count":11},"硬結判讀",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-fundamental-nursing-055","趙先生 72 歲，診斷 COPD，此次因呼吸困難入院，監測血氧飽和度 88%，護理師為病人進行初次評估時，下列何者最適當？",55,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-107-2-fundamental-nursing-071","依據我國傳染病防治法第 3 條規定，傳染病的分類，登革熱屬於第幾類傳染病？",71,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-108-2-fundamental-nursing-005","有關膀胱灌洗的敘述，下列何者正確？",5,108,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-109-2-fundamental-nursing-043","病人近端右肱骨骨折已接受石膏固定後之運動，下列何者最不適當？",43,109,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-111-1-fundamental-nursing-007","下列何者不是主觀症狀（subjective symptom）？",7,111,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-112-1-fundamental-nursing-041","下列那些病人評估脈搏時測量心尖脈較適宜？①服用毛地黃 ②足部手術後 ③7 歲兒童 ④腎衰竭出現四肢水腫",41,112,"2026-09-04",1788510702179]