[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-107-1-內外科護理學-035","nurse-107-1-medical-surgical-035",107,1,35,"有關保護性隔離之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"病人宜安排住在負壓隔離病房中","未確立致病原前，採廣效抗生素治療","嗜中性白血球低於 1,500\u002Fmm 3 時，應執行保護隔離","護理師進入隔離室，要穿戴口罩、帽子、護目鏡與隔離衣","B",null,[],"本題考點在保護性（反向）隔離的原則與時機。依保護性隔離目的是保護免疫低下病人不受外界病原侵襲，故在致病原尚未確立前，會依經驗先給予廣效抗生素以涵蓋可能感染，選 B。A 錯在保護性隔離安置於「正壓」病房使空氣往外流，負壓病房是用於防範飛沫或空氣傳染性病人外傳。C 錯在保護隔離的中性球閾值一般以低於 500\u002Fmm³（嚴重嗜中性球低下）為準，1,500\u002Fmm³ 尚屬輕度，並非執行時機。D 錯在保護隔離重點在維持環境清潔屏障，護目鏡並非常規必備。","正負壓對照是必考：保護性隔離（免疫低下、移植、化療嗜中性球低下）用正壓、防外物進入；空氣傳染隔離（開放性肺結核、麻疹、水痘）用負壓、防病原外出。嗜中性球低下發燒（febrile neutropenia）屬腫瘤急症，因缺乏中性球無法形成典型化膿與紅腫，感染徵象隱匿，故一有發燒即視為感染、立即經驗性廣效抗生素，不等培養結果。中性球絕對值（ANC）＝白血球×（節狀＋分葉核％），臨床風險以 \u003C500 最高。",[24,27,29,31,33],{"term":25,"count":26},"正壓病房",2,{"term":28,"count":26},"嗜中性球低下發燒",{"term":30,"count":10},"保護性(反向)隔離",{"term":32,"count":10},"廣效抗生素經驗性治療",{"term":34,"count":10},"ANC 中性球絕對值",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-036","有關癌症疼痛治療三階段給藥之敘述，下列何者正確？①定時給藥 ②需要時給藥 ③口服優先 ④先考慮靜脈注射給藥 ⑤優先考慮低效性麻醉劑 ⑥先從非麻醉性製劑開始",36,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-107-2-medical-surgical-052","有關免疫反應之身體屏障的敘述，下列何者錯誤？",52,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-066","有關接受腎移植而服用免疫抑制劑 cyclosporine 之敘述，下列何者錯誤？",66,108,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-109-2-medical-surgical-024","有關美尼爾氏症之敘述，下列何者正確？①可能原因是外耳淋巴液過多 ②症狀為雙側傳導性聽力減退 ③使用血管擴張劑減輕耳鳴症狀 ④藥物治療無效時，可採迷路切除術",24,109,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-110-2-medical-surgical-068","有關甲狀腺功能亢進病人的護理處置，下列何者正確？",68,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-022","一位高度數近視的病人，主訴眼前突然出現一群浮動的黑點，而且有部分視野缺失，下列建議何者不適宜？",22,112,"2026-09-04",1788510702761]