[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-107-1-內外科護理學-047","nurse-107-1-medical-surgical-047",107,1,47,"一位 28 歲的發燒男性病人，護理師抽取血液培養過程中不慎針扎，病人之愛滋病毒、B 型肝炎病毒、 C 型肝炎病毒抗體皆呈陽性。下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"急性愛滋病毒感染空窗期約是愛滋病毒感染後 6～12 週內，亦可能長達 12 個月","針扎事件後 24 小時內開始使用暴露後預防的抗愛滋病毒藥物，可降低感染 HIV 的機會","針扎事件後，發生病毒傳染的風險高低為 HBV（HBeAg（+））＞HIV＞HCV","針扎事件後，應定期檢驗並追蹤至一年","C",null,[],"本題考點在針扎後血源性病毒的傳染風險排序，屬選出錯誤敘述題。依流行病學數據，單次針扎的傳染風險以 B 型肝炎（HBeAg 陽性者約 30%）最高、C 型肝炎次之（約 3%）、愛滋病毒最低（約 0.3%），即 HBV＞HCV＞HIV；C 選項寫為 HBV＞HIV＞HCV，把 HIV 與 HCV 順序顛倒，屬錯誤，為本題答案。A 正確，愛滋空窗期約 6～12 週、少數可長達數月至一年。B 正確，暴露後 24 小時內（愈早愈好）開始預防性抗愛滋藥物可降低感染機會。D 正確，針扎後應定期檢驗追蹤至一年。","三大血源性病原傳染力口訣「B＞C＞愛滋」，數量級約 30%、3%、0.3%，恰各差十倍，反映病毒血症濃度差異（HBV 血中病毒量最高）。針扎後處置：立即擠出血液、大量清水沖洗、通報並評估暴露源。HBV 若受傷者無保護性抗體，給 B 肝免疫球蛋白加疫苗；HIV 給暴露後預防（PEP）愈早愈好、療程 28 天；HCV 目前無疫苗與 PEP，靠追蹤，早期發現可直接抗病毒藥治癒。",[24,26,28,30,32],{"term":25,"count":10},"針扎血源性暴露",{"term":27,"count":10},"傳染風險 HBV>HCV>HIV",{"term":29,"count":10},"愛滋暴露後預防 PEP",{"term":31,"count":10},"愛滋感染空窗期",{"term":33,"count":10},"職業暴露追蹤",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-048","有關急性溶血性輸血反應之症狀，下列何者最不可能出現？",48,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-064","有關預防膀胱癌之護理指導，下列何者不適當？",64,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-078","有關一氧化碳中毒病人之護理措施，下列何者正確？",78,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-036","依據安阿伯（Ann Arbor）臨床分期系統，下列何者屬於何杰金氏淋巴瘤第Ⅱ期？",36,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-080","有關腸病毒的敘述，下列何者錯誤？",80,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-034","有關非何杰金氏淋巴瘤預後不佳的因素，下列何者正確？①年齡小於 50 歲 ②身體功能狀態不佳 ③淋巴結外侵犯 ④血紅素值小於 12 g\u002FdL",34,112,"2026-09-04",1788510702876]