[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-109-1-基本護理學與護理行政-046","nurse-109-1-fundamental-nursing-046",109,1,46,"下列何項檢驗可作為選擇抗生素使用種類的依據？",{"A":15,"B":16,"C":17,"D":18},"D-D 雙合試驗（D-Dimer）","C-反應蛋白（CRP）","血液培養（blood culture）","紅血球沉降率（ESR）","C",null,[],"本題考點為感染相關檢驗的臨床意義區辨。血液培養能鑑定血中致病菌種並做藥物敏感試驗，直接指引抗生素選擇，故C正確。A的D-Dimer（D-D雙合試驗）反映纖維蛋白分解、用於評估血栓、深部靜脈栓塞或DIC，與選藥無關。B的CRP為急性期反應蛋白，僅反映發炎程度、無法辨別菌種。D的紅血球沉降率（ESR）為非特異性發炎指標，升高見於發炎、感染、風濕等，同樣不能決定用哪種抗生素。唯有培養加藥敏可精準選藥。","培養加抗生素敏感試驗（C\u002FS）是抗生素精準治療的依據；報告出爐前先給經驗性抗生素，結果出來後再降階（de-escalation）。CRP、ESR屬急性期反應物，用於追蹤治療反應而非診斷菌種。D-Dimer敏感度高、特異度低，陰性可幫助排除血栓。分辨「發炎指標」與「病原鑑定」是本題核心。",[25,28,30,32],{"term":26,"count":27},"血液培養",6,{"term":29,"count":11},"抗生素敏感試驗",{"term":31,"count":11},"CRP",{"term":33,"count":11},"ESR",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-1-fundamental-nursing-047","關於尿液培養（urine culture）的檢體收集，下列敘述何者錯誤？",47,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-109-2-fundamental-nursing-063","依據現行勞動基準法規定，勞工無正當理由繼續曠工 3 日，或 1 個月內曠工至少達幾天時，雇主得不經預告終止契約？",63,2,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-110-1-fundamental-nursing-077","醫院廢棄物分類中，下列何者為一般性醫療廢棄物？",77,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-fundamental-nursing-035","陳小姐術後留置導尿管，月經來潮，協助執行床上會陰沖洗，下列敘述何者正確？",35,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-fundamental-nursing-079","有關預防護理業務糾紛的發生，下列敘述何者最不適當？",79,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-fundamental-nursing-043","下列何項屬於護理時數中的直接護理項目？",43,113,3,"2026-09-04",1788510712028]