[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-107-2-產兒科護理學-038","nurse-107-2-maternal-pediatric-038",107,2,38,"常導致愛滋病患肺部感染的病原體為何？",{"A":14,"B":15,"C":16,"D":17},"肺炎鏈球菌","黴漿菌","結核桿菌","肺囊蟲","D",null,[],"本題考點在愛滋病(HIV\u002FAIDS)病人最具指標性的肺部伺機性感染病原。當 CD4 淋巴球顯著下降,免疫低下者最常見且具指標意義的肺部感染為肺囊蟲(Pneumocystis jirovecii)所致的肺囊蟲肺炎(PCP),故選 D。A 肺炎鏈球菌、B 黴漿菌雖也會致肺炎,但屬一般社區型病原,非愛滋特異;C 結核桿菌在愛滋病人確有較高風險,但題目問「最常導致」的伺機性肺部感染,經典答案為肺囊蟲。故最具代表性者為 D。","PCP 是 AIDS 指標性疾病,好發於 CD4\u003C200\u002FµL。臨床為漸進性乾咳、發燒、運動性呼吸困難與低血氧,胸片呈雙側瀰漫性間質浸潤。治療與預防首選 trimethoprim-sulfamethoxazole(TMP-SMX),CD4\u003C200 即應預防性投藥。記憶:愛滋伺機感染依 CD4 分層——\u003C200 肺囊蟲、\u003C100 弓漿蟲\u002F隱球菌、\u003C50 巨細胞病毒與非典型分枝桿菌。",[24,27,29,31],{"term":25,"count":26},"肺囊蟲肺炎",1,{"term":28,"count":26},"愛滋病伺機性感染",{"term":30,"count":26},"CD4 淋巴球",{"term":32,"count":26},"免疫低下",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-055","有關嬰兒的心肺復甦術，下列何者正確？",55,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-069","下列那一項胸腔物理治療是利用重力原理，使肺內的分泌物，易流至較大的支氣管，以利痰液排除？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-maternal-pediatric-027","有關新生兒囟門的敘述，下列何者錯誤？",27,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-1-maternal-pediatric-071","小奇，10 歲，診斷為第一型糖尿病，有關運動的護理指導，下列敘述何者較不適當？",71,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-maternal-pediatric-025","蔡女士，初產婦，新生兒出生體重 3,800 公克。採完全哺餵母乳，護理師進行產後兩週之出院後電話關懷時發現，新生兒出生兩週體重為下降至 3,700 公克。下列何者為最優先的處置？",25,112,"2026-09-04",1788510725981]