[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-051","nurse-110-1-medical-surgical-051",110,1,51,"有關全身性紅斑性狼瘡（SLE）的診斷檢查，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"抗核性抗體（ANA）呈陽性反應","血清補體 C 3 和 C 4 值下降","白血球及血小板值升高","免疫球蛋白濃度升高","C",null,[],"本題考點為全身性紅斑性狼瘡（SLE）的診斷檢查，題目要選「錯誤」者。考點在於血球變化，SLE 因自體免疫破壞血球，常呈白血球減少與血小板減少，而非升高，故 C 敘述錯誤。A 抗核抗體（ANA）呈陽性，是 SLE 高敏感的篩檢指標，正確。B 因免疫複合體活化補體使消耗增加，血清補體 C3、C4 值下降，正確。D 因 B 細胞過度活化，免疫球蛋白濃度升高，正確。此題關鍵在於 SLE 侵犯血液系統造成的是全血球減少傾向而非增多。","SLE 免疫特徵：多器官自體免疫，產生抗核抗體（ANA，篩檢用）、抗 dsDNA 與抗 Sm 抗體（專一性高、與活動度／腎炎相關）。免疫複合體沉積活化並消耗補體，故 C3、C4 下降是疾病活動指標。血液侵犯呈溶血性貧血、白血球與淋巴球減少、血小板減少。B 細胞過度活化使高丙型球蛋白血症。記憶：ANA 敏感篩、抗 dsDNA 專一且看活動、補體愈低愈活動、血球是「少」不是「多」。故 C 為破題錯項。",[24,27,30,32,34],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":29},"抗核抗體",2,{"term":31,"count":10},"補體C3C4下降",{"term":33,"count":10},"血球減少",{"term":35,"count":10},"免疫球蛋白升高",[37,41,45,49,54,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-052","車禍外傷病人出現胸部右側聽不到呼吸音，且氣管向左側偏移，下列處置何者最適當？",52,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-110-2-medical-surgical-068","有關甲狀腺功能亢進病人的護理處置，下列何者正確？",68,{"webId":46,"stem":47,"number":29,"year":48,"session":29},"nurse-111-2-medical-surgical-002","有關脊髓損傷後脊髓休克期照護的敘述，下列何者錯誤？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-2-medical-surgical-040","王先生因疲倦、蒼白、呼吸困難至醫院求治，檢查發現白血球數值為 30 萬／μL，骨髓檢查發現費城染色體，最有可能罹患下列何種疾病？",40,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-medical-surgical-014","有關後天免疫缺乏症候群（AIDS）之敘述，下列何者錯誤？",14,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-1-medical-surgical-008","有關口腔癌的敘述，下列何者正確？",8,115,"2026-09-04",1788510721260]