[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-111-1-內外科護理學-045","nurse-111-1-medical-surgical-045",111,1,45,"有關全身性紅斑性狼瘡之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"出門時應穿長袖衣物及穿戴寬邊帽子防曬","出現血尿、蛋白尿等狀況時，應多下床活動","慢性疲勞時，建議執行漸進式活動，如步行或游泳等","若有生育考量，於病情控制良好 6 個月後，再與醫師討論懷孕計畫","B",null,[],"本題考點為全身性紅斑性狼瘡（SLE）護理措施的錯誤敘述。選項B稱出現血尿、蛋白尿時應多下床活動，實際上血尿蛋白尿提示狼瘡腎炎腎臟受累，此時應臥床休息、減少活動並密切監測腎功能，故錯誤敘述選 B。A防曬避免紫外線誘發病情惡化、C慢性疲勞時採漸進式低衝擊運動、D病情穩定 6 個月後再與醫師討論懷孕計畫，皆為正確衛教。判斷依據為腎臟受累期須休息以減輕腎臟負荷，而非增加活動。","SLE 為第 III 型免疫複合體沉積為主的自體免疫病，紫外線會誘發角質細胞凋亡與抗原暴露而致病情活化，故嚴格防曬。狼瘡腎炎是主要器官損害與預後決定因子，蛋白尿、血尿、管型尿代表活動性腎炎，需休息、限制鹽分並依醫囑使用類固醇或免疫抑制劑。懷孕宜於病情緩解且無腎受累時計畫，並避開致畸胎藥物。記憶：SLE「防曬、腎炎休息、緩解再孕」。",[24,27,30,32],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":29},"狼瘡腎炎",2,{"term":31,"count":10},"防曬避免紫外線",{"term":33,"count":10},"活動與休息",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-medical-surgical-046","有關感染疥瘡（Scabies）引起皮膚疾病之敘述，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-medical-surgical-062","有關膀胱結石的治療與照護措施，下列何者錯誤？",62,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-076","有關施行心肺復甦術（CPR）成功徵象的敘述，下列何者正確？①四肢有動作反應 ②有自發性呼吸 ③刺激眼瞼會眨眼 ④瞳孔對光反射固定",76,112,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-113-2-medical-surgical-014","有關美尼爾氏症（Meniere’s disease）之護理指導，下列敘述何者錯誤？",14,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-medical-surgical-018","病人因身體多處不明原因出血進行骨髓抽吸檢查，下列敘述何者最適當？①檢查目的在了解骨髓組織、造血組織是否正常 ②可診斷是否為白血病 ③大多由脛骨進行抽取 ④大多需全身麻醉進行",18,114,3,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-medical-surgical-062","趙小姐有長期反覆性尿道感染的病史，健檢時發現有鹿角結石約 5 cm，下列敘述何者錯誤？",106,"2026-09-04",1788510734625]