[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":59},"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":11},"nurse-108-2-內外科護理學-001","nurse-108-2-medical-surgical-001",108,2,1,"有關病毒性腦膜炎的處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"給予 10 天抗生素使用","使用抗病毒製劑","採症狀療法，以減輕不適","增加水分攝取，以排出毒素","C",null,[],"本題考點是病毒性腦膜炎的治療原則。依其為病毒感染且多屬良性自限性疾病，無專一有效的抗病毒藥（單純疱疹病毒腦炎除外），臨床以症狀療法緩解頭痛、發燒等不適為主，故選 C。選項 A 給予抗生素僅適用於細菌性腦膜炎，病毒感染用抗生素無效；選項 B 使用抗病毒製劑並非病毒性腦膜炎的常規處置，多數病毒無特效藥；選項 D「增加水分以排出毒素」概念錯誤，腦膜炎有顱內壓升高風險時反而需留意水分，且病毒非靠多喝水排出。考點在於辨識病毒性腦膜炎採支持性症狀療法的原則。","細菌性 vs 病毒性腦膜炎是常考對比：細菌性病程急、腦脊髓液呈膿樣（葡萄糖低、蛋白高、多形核白血球高），須即時抗生素；病毒性多自限、腦脊髓液葡萄糖正常、以淋巴球為主，治療為支持療法（退燒、止痛、休息）。例外是單純疱疹病毒（HSV）腦炎需用 acyclovir。記憶口訣：病毒性腦膜炎『撐過去、緩症狀』，細菌性『搶時間、上抗生素』。可連結腦膜刺激徵象（頸部僵硬、Kernig 徵象、Brudzinski 徵象）與腰椎穿刺腦脊髓液判讀。",[24,26,28,30],{"term":25,"count":11},"病毒性腦膜炎",{"term":27,"count":11},"症狀療法",{"term":29,"count":11},"細菌性腦膜炎對比",{"term":31,"count":11},"腦脊髓液判讀",[33,36,41,45,50,55],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-108-2-medical-surgical-002","李先生是建築工人，近日因椎間盤突出入院行腰椎椎板切除術，護理師提供之術後護理指導，下列何者正確？",{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-109-1-medical-surgical-018","有關脂肪栓塞症之症狀和徵象，下列何者正確？①呼吸急促 ②意識混亂 ③排尿增加 ④體溫上升",18,109,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-109-2-medical-surgical-032","有關抗心律不整藥物，下列何者屬於鈉離子通道阻斷劑？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-2-medical-surgical-070","有關康氏症候群（Conn’s syndrome）的臨床表徵，下列何者錯誤？",70,110,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"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,{"webId":56,"stem":57,"number":39,"year":58,"session":11},"nurse-113-1-medical-surgical-018","下列何者為冠狀動脈性心臟病人服用Aspirin之主要目的？",113,"2026-09-04",1788510706192]