[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-080","nurse-107-1-medical-surgical-080",107,1,80,"有關登革熱之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"只能採症狀及支持療法","使用含阿斯匹靈類之藥物以降低體溫","病人恢復後，只對此次感染之特定型登革熱有終生免疫力","病人需臥床休息，補充體液及高熱量高蛋白飲食","B",null,[],"本題考點為登革熱的處置原則與退燒用藥禁忌。登革熱可能併發血小板下降與出血傾向,依此風險,含阿斯匹靈(aspirin)類藥物會抑制血小板功能、增加出血甚至誘發登革出血熱風險,故B「使用含阿斯匹靈類藥物降溫」為錯誤處置,退燒應改用acetaminophen。A登革熱無特效藥,以症狀及支持療法為主正確;C感染後僅對該次血清型產生終生免疫,對其他型別無交叉保護正確;D臥床休息、補充體液並給予高熱量高蛋白飲食以支持復原正確。","登革病毒有四種血清型,感染一型後再感染異型時,因抗體依賴性增強作用(ADE)使病情加重,較易發展為登革出血熱或休克症候群,故退燒堅持用acetaminophen、避免aspirin與非類固醇消炎藥(NSAIDs)以減少出血。照護重點是嚴密監測血小板、血比容與出血徵象,並維持體液平衡防止休克。防治上以孳生源清除與病媒蚊(斑蚊)控制為根本。",[24,27,30,32],{"term":25,"count":26},"登革熱",5,{"term":28,"count":29},"阿斯匹靈禁忌",2,{"term":31,"count":10},"血清型免疫",{"term":33,"count":10},"支持療法",[35,38,43,47,52,57],{"webId":36,"stem":37,"number":10,"year":9,"session":29},"nurse-107-2-medical-surgical-001","古先生，35 歲，為貨運司機，因腰椎椎間盤突出接受手術治療，術後依醫師指示需穿背架 6 個月，下列敘述何者錯誤？",{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-medical-surgical-017","有關骨髓炎的治療方式，下列何者最為少見？",17,108,{"webId":44,"stem":45,"number":46,"year":42,"session":29},"nurse-108-2-medical-surgical-031","有關干擾素治療之敘述，下列何者正確？",31,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-109-2-medical-surgical-069","下列何種荷爾蒙分泌不足會導致黏液性水腫（myxedema）？",69,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-medical-surgical-033","輸注下列何種藥物時，需以不透光錫箔紙包住點滴瓶及輸液管？",33,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-067","有關造成糖尿病病人血糖過低之促因，下列何者正確？",67,112,"2026-09-04",1788510703229]