[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-110-1-產兒科護理學-065","nurse-110-1-maternal-pediatric-065",110,1,65,"有關病毒性腦膜炎（virus meningitis）的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"採支持性療法或症狀治療","大多數病童會出現神經系統障礙的後遺症","持續監測病童的生命徵象","若同時發生細菌性感染，則會給予抗生素使用","B",null,[],"本題考點是病毒性腦膜炎的病程與預後特性,要挑出敘述錯誤者。考點在於病毒性腦膜炎多屬自限性疾病,以支持與症狀治療為主,大多數病童預後良好、少留下神經系統後遺症,故『大多數病童會出現神經系統障礙的後遺症』的描述錯誤,選 B。選項 A 正確,病毒性感染無特效藥,採支持性療法;C 正確,持續監測生命徵象可及早察覺病情變化;D 正確,若合併細菌感染才需給抗生素。判斷關鍵在於分辨病毒性與細菌性腦膜炎的預後差異。","細菌性與病毒性腦膜炎的鑑別是常考重點。細菌性病程急、腦脊髓液呈化膿性(多形核白血球高、糖低、蛋白高),須及時抗生素,後遺症如聽力損失、癲癇、智能障礙較多;病毒性病程較緩、腦脊髓液以淋巴球為主、糖正常,多自限、預後佳。記憶口訣:『細菌重、病毒輕;細菌用抗生素、病毒靠支持』。抗生素僅在懷疑或合併細菌感染時使用。可連結 Kernig 徵象、Brudzinski 徵象與腦脊髓液分析數值一併複習。",[24,27,29,31],{"term":25,"count":26},"病毒性腦膜炎",2,{"term":28,"count":26},"支持性療法",{"term":30,"count":10},"自限性疾病",{"term":32,"count":10},"腦脊髓液鑑別",[34,38,42,46,51,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-066","有關胎兒出生後的心臟血管變化，下列敘述何者錯誤？",66,{"webId":39,"stem":40,"number":26,"year":41,"session":10},"nurse-111-1-maternal-pediatric-002","下列何者不是接受產前遺傳諮詢之高危險群孕婦？",111,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-111-2-maternal-pediatric-016","王女士，G 1 P 0 ，子宮頸口開 10 公分，待產時宮縮疼痛，下列措施何者最適當？",16,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-112-2-maternal-pediatric-054","小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",54,112,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-113-3-maternal-pediatric-028","有關成骨不全（osteogenesis imperfecta）的相關敘述，下列何者錯誤？",28,113,3,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-maternal-pediatric-022","下列何者是發生產後血栓靜脈炎的主要原因？",22,115,"2026-09-04",1788510722202]