[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-109-1-內外科護理學-046","nurse-109-1-medical-surgical-046",109,1,46,"有關治療類風濕性關節炎使用之藥物，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"水楊酸藥物，如 aspirin","免疫抑制劑，如 methotrexate","糖皮質類固醇，如 prednisone","利尿劑，如 furosemide（Lasix）","D",null,[],"本題考點為類風濕性關節炎(RA)的藥物治療分類。RA以自體免疫慢性滑膜發炎為病理,治療目標為抗發炎與延緩關節破壞:A水楊酸類aspirin屬非類固醇抗發炎藥可止痛消炎、B疾病調節抗風濕藥methotrexate為第一線DMARD、C糖皮質類固醇prednisone抗發炎,三者皆為RA常用藥。D利尿劑furosemide(Lasix)屬亨利氏環利尿劑,作用在腎臟排除水分與鈉,用於水腫、心衰竭、高血壓,與RA的發炎機轉無關,無抗風濕或抗發炎作用,故不適當者為D。","DMARD(如methotrexate)能改變疾病病程、延緩骨侵蝕,是RA核心用藥,NSAID與類固醇僅控制症狀。furosemide屬利尿劑,可對比thiazide,副作用為低血鉀、低血鈉。記憶:RA治療金字塔底層NSAID、上層DMARD與生物製劑,利尿劑完全不在此治療軸線上。",[24,27,30,32],{"term":25,"count":26},"類風濕性關節炎",10,{"term":28,"count":29},"非類固醇抗發炎藥",3,{"term":31,"count":10},"DMARD methotrexate",{"term":33,"count":10},"亨利氏環利尿劑",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-047","愛滋病病人感染肺囊蟲肺炎之初期主要症狀，下列何者正確？",47,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-063","有關腎病症候群病人之診斷性檢查之典型發現，下列何者正確？①血尿 ②菌尿 ③蛋白尿 ④血清白蛋白濃度下降 ⑤血糖上升 ⑥血清膽固醇上升 ⑦血清三酸甘油酯上升 ⑧血清鈣上升",63,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-medical-surgical-077","依據「臺灣急診檢傷與急迫度分級量表」（TTAS），病人出現中樞性疼痛程度為 4～7 分，級數應為下列何者？",77,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-medical-surgical-035","有關多發性骨髓瘤病人的護理指導，下列何者錯誤？",35,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-medical-surgical-079","有關嚴重特殊傳染性肺炎 COVID-19 之護理措施，下列何者正確？",79,112,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-113-3-medical-surgical-043","有關尿崩症病人的出院護理指導，下列何者錯誤？",43,113,"2026-09-04",1788510712740]