[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-107-2-內外科護理學-062","nurse-107-2-medical-surgical-062",107,2,62,"有關急性腎絲球腎炎病人之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"出現喉嚨痛或皮膚感染時應早期接受治療","出現上呼吸道感染時即須服用抗生素","須長期服用預防性抗生素以避免疾病復發","須監測呼吸情況，因疾病會侵犯呼吸道黏膜引起呼吸衰竭","A",null,[],"本題考點在急性腎絲球腎炎(尤其鏈球菌感染後型)的預防與衛教。依致病機轉,此病常由 A 群 β 溶血性鏈球菌引起的咽喉或皮膚感染後,免疫複合體沉積於腎絲球所致,故當出現喉嚨痛或皮膚感染時應及早就醫治療,以降低後續腎炎發生或復發,正確者選 A。選項 B 錯,並非一有上呼吸道感染就自行服用抗生素,需經診斷評估;選項 C 錯,不需長期預防性抗生素,過度使用反增抗藥性;選項 D 錯,此病侵犯的是腎絲球而非呼吸道黏膜,不會因此引起呼吸衰竭,屬病生理概念錯置。","鏈球菌感染後腎絲球腎炎屬第三型過敏,抗原抗體複合體沉積於腎絲球基底膜,引發補體活化與發炎,臨床見血尿、蛋白尿、水腫、高血壓。潛伏期咽喉感染後約 1～2 週、皮膚感染後約 3～6 週。預防重點是早期辨識並治療鏈球菌感染。口訣:咽喉\u002F皮膚鏈球菌→免疫複合體→腎絲球發炎,及早治感染是關鍵。",[24,27,30,32],{"term":25,"count":26},"急性腎絲球腎炎",5,{"term":28,"count":29},"免疫複合體沉積",4,{"term":31,"count":10},"鏈球菌感染後",{"term":33,"count":34},"早期治療感染",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-medical-surgical-063","下列何者為確立無痛性血尿是否為膀胱癌之最佳診斷檢查？",63,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-108-1-medical-surgical-079","有關登革熱之敘述，下列何者錯誤？",79,108,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-109-1-medical-surgical-013","有關風濕熱之敘述，下列何者正確？①最常侵犯三尖瓣 ②須使用抗生素治療 ③應多從事體能活動以強化心臟功能 ④若有心衰竭症狀須採低鹽飲食",13,109,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-110-1-medical-surgical-051","有關全身性紅斑性狼瘡（SLE）的診斷檢查，下列何者錯誤？",51,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-medical-surgical-015","王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",15,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-2-medical-surgical-049","有關免疫球蛋白特性之敘述，下列何者正確？",49,112,"2026-09-04",1788510725447]