[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-110-2-內外科護理學-042","nurse-110-2-medical-surgical-042",110,2,42,"有關癌症病人感染問題的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"感染是造成病人死亡的主要原因","感染與癌症治療骨髓功能受抑制有關","白血球比嗜中性球更能反映病人是否易受感染","G-CSF 皮下注射可增加白血球數目","C",null,[],"本題考點在於癌症病人感染風險的評估指標，須挑出錯誤者。真正決定病人是否易受感染的是「嗜中性球」的絕對數量，而非總白血球數，因為嗜中性球是抵禦細菌感染的主力;當嗜中性球絕對值下降(嗜中性球低下)時感染風險最高，故C「白血球比嗜中性球更能反映」的敘述顛倒因果，為本題答案。感染是癌症病人死亡的主要原因(A)，正確。感染與治療造成骨髓功能受抑制密切相關(B)，正確。G-CSF皮下注射可刺激骨髓增加白血球(嗜中性球)數目(D)，正確。故錯誤者為C。","感染風險看嗜中性球絕對值(ANC)，計算為白血球數×(節狀球%+分葉球%)。ANC\u003C500屬嚴重嗜中性球低下、感染風險極高，須採保護隔離。G-CSF(如filgrastim)刺激骨髓製造嗜中性球以縮短低下期。記憶口訣「看感染看ANC不是看WBC」。護理重點：手部衛生、避免生食與鮮花盆栽、監測發燒(可能是唯一感染徵象)。可連結概念：發熱性嗜中性球低下、保護隔離、骨髓抑制時序。",[24,27,30,32],{"term":25,"count":26},"骨髓抑制",8,{"term":28,"count":29},"癌症感染風險",1,{"term":31,"count":29},"嗜中性球絕對值",{"term":33,"count":29},"G-CSF",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-medical-surgical-043","有關席林試驗可協助診斷的貧血類別，下列何者正確？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-medical-surgical-059","胸腔手術後病人進行深呼吸運動之主要成效，下列何者正確？",59,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-medical-surgical-073","有關甲狀腺功能亢進病人的飲食指導，下列何者正確？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"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？",31,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-114-1-medical-surgical-035","下列何種給氧方式能提供最高的氧氣吸入濃度（FiO 2）？",35,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-medical-surgical-029","簡先生 6 小時前車禍意外造成全身 40%的熱燒傷，下列敘述何者正確？",29,115,"2026-09-04",1788510729174]