[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-111-2-內外科護理學-038","nurse-111-2-medical-surgical-038",111,2,38,"有關癌症病人感染問題的照護與護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"嗜中性白血球低下病人都會出現典型發炎症狀，如發燒等","多吃養樂多和優格等食品對病人是有益處的","絕對嗜中性白血球低於 500\u002Fmm 3 要採取保護隔離","家屬接種活性疫苗 3 週後即可探視病人","C",null,[],"本題考點為癌症病人嗜中性球低下(neutropenia)的感染防護。依定義,絕對嗜中性白血球數(ANC)低於 500\u002Fmm³ 感染風險極高,須採保護性隔離,選 C。A 錯誤:嗜中性球低下時因缺乏發炎細胞,常無典型紅腫熱痛症狀,發燒可能是唯一感染徵象,不會「都出現典型症狀」;B 錯誤:養樂多、優格等含活菌發酵食品對免疫低下者反而有感染風險,應避免;D 錯誤:接種活性減毒疫苗者可能排出病毒,免疫低下病人應避免接觸,並非 3 週後即安全。","嗜中性球是急性發炎與抗菌的第一線,ANC=白血球總數×(節狀+分葉核嗜中性球%)。ANC\u003C500 屬嚴重低下,\u003C100 為極重度。因缺乏發炎細胞,感染時紅腫化膿等徵象被削弱,「發燒即警訊」——嗜中性球低下併發燒(febrile neutropenia)屬腫瘤急症,須立即血液培養與經驗性抗生素。保護性隔離重點:單人房、正壓、手部衛生、避免生食與活菌製品、避免鮮花盆栽(黴菌)、避免接觸活疫苗接種者。低菌飲食是護理指導核心。",[24,26,28,31],{"term":25,"count":10},"嗜中性球低下",{"term":27,"count":10},"發熱性嗜中性球低下",{"term":29,"count":30},"絕對嗜中性球數 ANC",1,{"term":32,"count":30},"保護性隔離",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-039","有關補充鐵劑的敘述，下列何者正確？",39,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-112-1-medical-surgical-055","張先生患有多重抗藥性結核病（MDR-TB），表示其對何種藥物產生抗藥性？①Ethambutol ②Isoniazid ③Pyrazinamide ④Rifampin",55,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-069","有關愛迪生氏危機病人的護理措施，下列何者錯誤？",69,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-037","下列何者最適合用於肺結核病人之診斷檢查？",37,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-115-1-medical-surgical-041","趙小姐，45歲，無特殊疾病，近來健檢時發現有輸尿管結石約1.8公分，醫師建議行輸尿管鏡碎石術，下列敘述何者錯誤？",41,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-055","有關慢性阻塞性肺部疾病病人的飲食指導，下列何者錯誤？",106,"2026-09-04",1788510738566]