[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-050","nurse-107-1-medical-surgical-050",107,1,50,"有關全身性紅斑性狼瘡的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"紅斑性狼瘡目前無法治癒，只能降低炎症反應和損傷","可使用非類固醇類抗炎症藥物減輕關節疼痛","可使用類固醇治療全身性症狀的急性惡化","停止使用抗瘧藥 Chloroquine 後，視網膜病變之副作用即不會出現","D",null,[],"本題考點在全身性紅斑性狼瘡的治療，屬選出錯誤敘述題。依抗瘧藥物的眼毒性特性，Chloroquine／Hydroxychloroquine 在視網膜的沉積具累積性，其視網膜病變可能不可逆，即使停藥仍可能持續甚至進展，故 D 稱停藥後副作用即不會出現，屬錯誤，為本題答案。A 正確，狼瘡目前無法治癒，治療目標在控制炎症與減少器官損傷。B 正確，非類固醇抗炎藥可緩解關節疼痛。C 正確，類固醇用於全身性症狀急性惡化的控制。故需定期眼科追蹤以早期發現視網膜變化。","抗瘧藥（hydroxychloroquine）是狼瘡基礎用藥，可降低復發、保護器官，但長期使用具視網膜毒性風險（劑量與累積量相關），故建議定期眼底與視野檢查，一旦出現病變即停藥，但已形成的黃斑病變常不可逆。狼瘡屬第三型（免疫複合體）為主的自體免疫病，多器官受累，特徵包括顴部蝴蝶斑、光敏感、關節炎、腎炎、抗核抗體與抗 dsDNA 陽性。衛教重點含防曬與避免誘發因子，治療階梯依嚴重度加入免疫抑制劑。",[24,26,28,30,32],{"term":25,"count":10},"全身性紅斑性狼瘡 SLE",{"term":27,"count":10},"抗瘧藥 Chloroquine 視網膜毒性",{"term":29,"count":10},"不可逆視網膜病變",{"term":31,"count":10},"類固醇與 NSAID 治療",{"term":33,"count":10},"定期眼科追蹤",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-051","有關急性呼吸窘迫症候群（ARDS）的診斷標準，下列何者正確？",51,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-067","有關血液透析不平衡症候群之敘述，下列何者正確？",67,2,{"webId":45,"stem":46,"number":10,"year":47,"session":43},"nurse-108-2-medical-surgical-001","有關病毒性腦膜炎的處置，下列何者正確？",108,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-109-2-medical-surgical-039","有關放射線治療癌症之敘述，下列何者正確？",39,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-medical-surgical-003","有關腰椎椎間盤突出的敘述，下列何者錯誤？",3,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-037","周女士，52 歲，本身有高血壓及乳癌家族史，有抽菸，在一次回診時表示自己年紀越來越大，很擔心會跟媽媽一樣罹癌，下列建議何者錯誤？",37,112,"2026-09-04",1788510702913]