[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-075","nurse-109-1-medical-surgical-075",109,1,75,"有關肉毒桿菌中毒的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"主因食入被臘腸桿菌產生的外毒素所污染的食物","除腸胃道症狀外，會有高燒","除腸胃道症狀外，會有視力模糊、複視等神經方面的症狀","對中毒病人除須注射抗毒素外，尚須施以洗胃灌腸以中和毒素或排出腸道毒素","B",null,[],"本題考點在於肉毒桿菌中毒的臨床特徵，屬「找錯誤敘述」題。肉毒桿菌外毒素阻斷神經肌肉接合處乙醯膽鹼釋放，造成鬆弛性麻痺，典型表現為視力模糊、複視、吞嚥困難等神經症狀，且病程通常不發燒（afebrile），故「會有高燒」與機轉不符，B 為錯誤敘述、即答案。A 主因食入遭外毒素污染食物（如自製醃漬、罐頭），敘述正確。C 神經性症狀正是本病特徵，敘述正確。D 治療除注射抗毒素中和游離毒素外，配合洗胃灌腸清除腸道未吸收毒素，敘述正確。整題關鍵在辨識肉毒桿菌不以發燒表現。","肉毒桿菌毒素（botulinum toxin）為已知最強生物毒素，作用於突觸前膜阻止 ACh 釋放，導致由上而下對稱性鬆弛麻痺，嚴重時呼吸肌麻痺致死。與破傷風的痙攣性（僵直）麻痺恰成對比：破傷風阻斷抑制性神經傳導致抽搐，肉毒則抑制興奮傳導致鬆弛。無發燒是重要鑑別點。",[24,27,29,31,33],{"term":25,"count":26},"神經肌肉接合處",4,{"term":28,"count":10},"肉毒桿菌外毒素",{"term":30,"count":10},"乙醯膽鹼",{"term":32,"count":10},"鬆弛性麻痺",{"term":34,"count":10},"抗毒素",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-medical-surgical-076","乳癌病人接受化學治療效果不佳，病人主訴：「我希望能活到女兒結婚有個依靠，我就可以放心離開，就讓我活到那時候吧！」請問病人是處於 Kubler-Ross 心理反應的那一階段？",76,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-110-1-medical-surgical-012","有關口腔癌的敘述，下列何者正確？",12,110,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-110-2-medical-surgical-026","使用 Warfarin（Coumadin ○ R ）預防深部靜脈栓塞（deep vein thrombosis, DVT）之護理指導，下列何者正確？①需定期監測凝血酶原時間（PT） ②鼓勵多攝取銀杏、當歸 ③若出現血尿是正常的現象不需理會 ④宜使用電動刮鬍刀",26,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-111-2-medical-surgical-064","有關腎臟癌的敘述，下列何者正確？",64,111,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-112-3-medical-surgical-028","有關頭頸部放射治療對口腔造成的影響，下列處置何者正確？",28,112,3,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-114-1-medical-surgical-022","顆粒性白血球低下的癌症病人之食物選擇，下列何者最適切？",22,114,"2026-09-04",1788510712992]