[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-079":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-108-2-內外科護理學-079","nurse-108-2-medical-surgical-079",108,2,79,"有關霍亂的症狀與治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"霍亂弧菌不會進入血管引起菌血症","會有嚴重腹瀉、噁心、嘔吐及發燒","要適當補充電解質液體以矯正酸中毒、脫水及低血鉀","主以四環黴素（tetracycline）縮短病程及降低腹瀉的嚴重度","B",null,[],"本題考點為霍亂(cholera)的臨床症狀與治療，須找出錯誤敘述。霍亂弧菌經腸毒素作用引起典型的大量無痛性水瀉(米湯樣便)、進而脫水與電解質流失，一般不以發燒為主要表現，故「會有嚴重腹瀉、噁心、嘔吐及發燒」中的發燒描述不符，選 B。選項 A 正確，霍亂弧菌作用局限於腸道、不侵入血流引起菌血症。選項 C 正確，治療核心是積極補充電解質與液體以矯正脫水、酸中毒與低血鉀。選項 D 正確，四環黴素(tetracycline)可縮短病程並減輕腹瀉嚴重度。故錯誤在把發燒列為典型症狀。","霍亂機轉:霍亂弧菌不侵入組織,靠腸毒素活化腺苷酸環化酶使 cAMP↑、腸黏膜大量分泌水與電解質→米湯樣水瀉、快速脫水、低血鉀與代謝性酸中毒,通常無發燒與腹痛。治療首重口服或靜脈補液(WHO 口服補液鹽),抗生素(四環黴素)為輔。判題抓「無痛大量水瀉、通常不發燒」。",[24,27,29,31,33],{"term":25,"count":26},"霍亂弧菌",1,{"term":28,"count":26},"腸毒素水瀉",{"term":30,"count":26},"米湯樣便",{"term":32,"count":26},"液體電解質補充",{"term":34,"count":26},"四環黴素治療",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-medical-surgical-080","有關嚴重急性呼吸道症候群（SARS）之臨床症狀，不包括下列何者？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-2-medical-surgical-016","病人主訴「餓的時候疼痛，常常半夜痛醒」，下列何者為其最大可能之診斷？",16,109,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-110-1-medical-surgical-030","預防靜脈曲張的護理指導，下列何者最適當？①避免外傷 ②下肢不宜抬高 ③不需特別控制體重 ④應規律運動",30,110,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-111-1-medical-surgical-068","有關經尿道前列腺切除術的敘述，下列何者錯誤？",68,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-032","有關靜脈曲張之護理指導，下列敘述何者正確？",32,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-046","下列何者是副甲狀腺功能亢進的臨床表徵？",46,113,"2026-09-04",1788510706861]