[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-047","nurse-109-1-medical-surgical-047",109,1,47,"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？",{"A":14,"B":15,"C":16,"D":17},"體重下降","皮疹","氣喘","乾咳","D",null,[],"本題考點為愛滋病人肺囊蟲肺炎(PCP)的初期症狀。PCP由Pneumocystis jirovecii引起,屬CD4低下時的伺機性感染,初期以漸進性乾咳、發燒與運動後呼吸困難為主,肺泡氣體交換受損但痰量少,故初期主要症狀為乾咳,選D。A體重下降為愛滋整體消耗表現,非PCP初期特異表徵;B皮疹非PCP典型呼吸道症狀;C氣喘(喘鳴)屬呼吸道阻塞性表現,PCP以間質性病變與乾咳為主而非氣喘,故最符合初期主要症狀者為D。","PCP典型為乾咳、發燒、進行性呼吸困難三聯徵,胸片呈瀰漫性間質浸潤、LDH上升。CD4\u003C200\u002FµL是發病門檻,故臨床以此作為預防性投藥(TMP-SMX)依據。與細菌性肺炎的濃痰、實質化不同,PCP痰少而低血氧顯著,是重要鑑別點。",[24,27,29,31],{"term":25,"count":26},"伺機性感染",7,{"term":17,"count":28},2,{"term":30,"count":10},"肺囊蟲肺炎PCP",{"term":32,"count":10},"CD4低下",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-048","有關肺栓塞病人之護理處置，下列敘述何者最正確？",48,{"webId":39,"stem":40,"number":41,"year":9,"session":28},"nurse-109-2-medical-surgical-064","關於膀胱癌接受膀胱切除及輸尿管造瘻術術後病人之護理措施，下列何者不適當？",64,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-078","有關敗血性休克引發瀰漫性血管內凝血（DIC）之敘述，下列何者正確？",78,110,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-2-medical-surgical-036","有關癌症疼痛三階梯止痛療法的敘述，下列何者正確？",36,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-2-medical-surgical-080","有關流感併發重症的敘述，下列何者錯誤？",80,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-044","有關糖尿病病人足部護理的指導，下列何者正確？①每日以溫水清洗足部前須以手背測試水溫，以防燙傷 ②修剪趾甲應剪短於足趾末端，以防甲溝炎 ③平日於足部與足趾間及腳跟龜裂處，塗抹保養乳液，以免皮膚過於乾燥 ④不可擅自用手或剪刀，將足部硬繭或雞眼剝除",44,113,3,"2026-09-04",1788510712751]