[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-078","nurse-109-1-medical-surgical-078",109,1,78,"有關過敏性休克的治療與護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"治療的目標是緩解症狀","避免接觸過敏原或食用引起過敏的食物","給予藥物或生物性製劑需先行皮膚試驗","減敏感療法之目的在增加 IgE 的濃度","D",null,[],"本題考點在於過敏性休克與減敏感療法的免疫機轉，屬「找錯誤」題。第一型過敏反應由 IgE 媒介，減敏感療法（免疫療法）的目的是誘導產生阻斷性抗體 IgG 並降低 IgE 反應性，使身體對過敏原耐受，故「目的在增加 IgE 濃度」與機轉相反，D 為錯誤敘述、即答案。A 過敏性休克治療目標確為緩解症狀、維持呼吸與循環，敘述正確。B 避免接觸過敏原是預防復發的首要衛教，敘述正確。C 給藥或生物製劑前先做皮膚試驗以偵測過敏體質，屬合理防範，敘述正確。核心是辨識減敏療法降低而非升高 IgE。","第一型（立即型）過敏由 IgE 結合肥大細胞、再遇過敏原後脫顆粒釋出組織胺造成。減敏療法逐量給予過敏原，誘導 IgG 阻斷抗體與調節性 T 細胞，轉移免疫反應方向。對比記憶：IgE＝致敏、IgG＝阻斷保護。過敏性休克急救首選 epinephrine（腎上腺素），透過 α、β 受體收縮血管、擴張支氣管。",[24,27,30,33,35],{"term":25,"count":26},"第一型過敏反應",7,{"term":28,"count":29},"IgE",4,{"term":31,"count":32},"過敏性休克",3,{"term":34,"count":10},"減敏感療法",{"term":36,"count":10},"阻斷性抗體 IgG",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-1-medical-surgical-079","當支氣管擴張症病人出現下列何種狀況需盡速就醫？",79,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-015","有關急性胰臟炎之相關檢驗項目的結果，下列何者正確？",15,110,{"webId":48,"stem":49,"number":50,"year":46,"session":51},"nurse-110-2-medical-surgical-029","有關心臟血管系統檢查評估的敘述，下列何者錯誤？",29,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-111-2-medical-surgical-067","下列何者可能出現膀胱容量增加？",67,111,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-112-3-medical-surgical-031","有關後天免疫缺乏症候群（AIDS）病人防護措施的敘述，下列何者正確？",31,112,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-114-1-medical-surgical-025","下列何者接受自體移植治療後的5年存活率最高？",25,114,"2026-09-04",1788510713012]