[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-110-1-內外科護理學-050","nurse-110-1-medical-surgical-050",110,1,50,"有關類風濕性關節炎的醫療處置，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"非類固醇抗炎藥物 Ibuprofen 最需擔心肝腎功能損傷問題","DMARDs 為育齡婦女治療的首選藥物","COX-2 抑制劑有延長出血時間的副作用","使用抗瘧疾製劑（奎寧類），應定期檢查眼睛","D",null,[],"本題考點為類風濕性關節炎（RA）的藥物治療與監測。考點在於抗瘧疾製劑（奎寧類，如 hydroxychloroquine）具視網膜毒性，長期使用須定期接受眼科檢查以早期發現視網膜病變，故 D 正確。A 錯在毒性重點，Ibuprofen 屬非類固醇抗炎藥，主要風險為腸胃道刺激與出血，並非最需擔心肝腎（相對其他藥）。B 錯在首選，DMARDs 如 methotrexate 具致畸性，育齡婦女並非首選用藥。C 錯在特性，COX-2 抑制劑對血小板影響較小，不以延長出血時間為主要副作用。","RA 用藥層次：NSAID（緩解症狀，胃腸與腎風險）、類固醇（抗發炎橋接）、DMARDs（改變病程，如 methotrexate 抑制疾病進展但具骨髓抑制與致畸性，孕婦禁用）、生物製劑（抗 TNF 等）。Hydroxychloroquine 屬抗瘧藥類 DMARD，長期用須定期眼科檢查視網膜。COX-2 選擇性抑制劑較少影響血小板但增心血管風險。記憶：奎寧顧眼睛、MTX 防懷孕、傳統 NSAID 顧腸胃。",[24,27,29,31,33],{"term":25,"count":26},"類風濕性關節炎",10,{"term":28,"count":10},"抗瘧疾製劑",{"term":30,"count":10},"視網膜毒性",{"term":32,"count":10},"DMARDs",{"term":34,"count":10},"COX-2抑制劑",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-medical-surgical-051","有關全身性紅斑性狼瘡（SLE）的診斷檢查，下列何者錯誤？",51,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-110-2-medical-surgical-067","有關腎移植後的急性排斥徵候，不包括下列何者？",67,2,{"webId":46,"stem":47,"number":10,"year":48,"session":44},"nurse-111-2-medical-surgical-001","有關頭部外傷病人顱內壓升高的照護，下列何者錯誤？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-112-2-medical-surgical-039","有關化學藥物 cyclophosphamide（Cytoxan）的副作用或毒性，不包括下列何者？",39,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-medical-surgical-013","下列何者會出現眼睛痛的症狀？",13,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-1-medical-surgical-007","有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",7,115,"2026-09-04",1788510721253]