[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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":10},"nurse-111-1-精神科與社區衛生護理學-077","nurse-111-1-psychiatric-community-077",111,1,77,"獨居的張爺爺罹患氣喘多年，最近因氣喘發作反覆入院，近日出院返家，每週會有居服員到宅服務，社區衛生護理師到家中訪視，下列建議何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"請居服員每週以攝氏 55 度熱水清洗寢具","請居服員以濕抹布打掃環境","建議張爺爺將厚重窗簾移除，改用百葉窗或塑膠板","建議張爺爺飼養貓或狗等寵物陪伴","D",null,[],"本題考點是氣喘個案的居家環境過敏原控制。依氣喘照護原則，貓狗等寵物的皮屑、毛髮與唾液是常見的吸入性過敏原，會誘發氣喘發作，故「建議飼養貓或狗陪伴」最不適當，選 D。A 正確，以攝氏 55 度以上熱水清洗寢具可殺死塵蟎，是控制塵蟎過敏原的有效做法。B 正確，以濕抹布打掃可避免揚塵、減少過敏原飄散。C 正確，移除厚重窗簾改用百葉窗或易清潔材質，可減少積塵與塵蟎孳生。因此 D 因引入寵物過敏原而與氣喘環境控制原則相悖，為最不適當者。","氣喘的居家環境控制核心在減少誘發因子與過敏原：塵蟎（熱水 55℃ 以上洗滌寢具、防蟎套、除濕使濕度\u003C50%）、寵物皮屑（避免飼養或至少禁入臥室）、黴菌、蟑螂、二手菸與強烈氣味。打掃宜用濕擦或吸塵器加 HEPA 濾網以免揚塵。氣喘的病生理是慢性氣道發炎伴隨氣道高反應性，過敏原暴露會活化肥大細胞釋放組織胺與白三烯，導致支氣管收縮、黏膜水腫與黏液分泌。因此環境減敏（allergen avoidance）與藥物（吸入型類固醇為控制型用藥）並列為長期管理主軸。判題只要抓「引入而非移除過敏原」的選項即為最不適當。",[24,26,28,30],{"term":25,"count":10},"氣喘環境控制",{"term":27,"count":10},"吸入性過敏原",{"term":29,"count":10},"塵蟎與寵物皮屑",{"term":31,"count":10},"氣道慢性發炎",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-psychiatric-community-078","有關戒菸的護理指導，下列何者正確？",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-112-1-psychiatric-community-014","陳先生在住院期間，與多位病人有衝突，且多次出手攻擊。在訂定行為治療時，下列何項措施最適宜？",14,112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-2-psychiatric-community-028","鴉片類的物質其作用越短效，引起的戒斷症狀發作及持續時間的通則為何？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-113-2-psychiatric-community-046","評估個案的失能狀況，下列何項身體功能評估工具最不適當？",46,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-psychiatric-community-050","下列那一種慢性病個案最需持續管理？",50,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":46},"nurse-106-2-psychiatric-community-014","護理師照顧吳太太時有強烈的敵意，與之互動時顯不耐煩，覺得對方很像自己的婆婆，而難以和吳太太建立護病關係，有關這種關係之敘述，下列何者正確？",106,"2026-09-04",1788510736907]