[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":61},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-112-1-基本護理學與護理行政-018","nurse-112-1-fundamental-nursing-018",112,1,18,"林先生施行結核菌素試驗（PPD test），結果出現紅腫、直徑 18 mm 的硬結，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"主要是檢驗體內是否有活的結核分枝桿菌","林先生的結核菌素試驗為陽性反應","建議林先生需接受卡介苗注射","需進一步接受胸部 X 光或痰液檢查確認是否有感染結核桿菌","C",null,[],"本題考點是結核菌素試驗(PPD\u002FMantoux)結果判讀,屬選『錯誤』題。硬結直徑18mm,以一般標準≥15mm即為陽性,故B『為陽性反應』正確。D『需進一步以胸部X光或痰液檢查確認是否感染結核』正確,陽性代表曾受感染或致敏,須再排除是否為活動性結核。C『建議接受卡介苗(BCG)注射』錯誤:PPD陽性表示已受結核菌致敏,不需也不應再接種BCG(卡介苗施打對象是未受感染、PPD陰性者,如新生兒),對陽性者接種既無益又不當,故選C為錯誤敘述。","PPD屬第Ⅳ型(遲發型)細胞媒介免疫反應:注入結核菌素後48–72小時測『硬結』直徑(非紅暈)。陽性代表曾接觸結核桿菌而致敏,可能是潛伏感染、活動性感染,或曾接種BCG,並非直接證明體內有『活菌』(故A的措辭其實略欠嚴謹,但本題以C為最明確的錯誤)。判讀切點依風險族群而異(免疫低下者≥5mm、一般族群≥15mm)。陽性後的正確流程是胸部X光、痰液抗酸菌染色\u002F培養以區分潛伏與活動性,而非補打卡介苗。核心觀念:BCG用於『預防未感染者』,對已陽性者接種是方向性錯誤。",[25,27,29,31],{"term":26,"count":11},"結核菌素試驗(PPD\u002FMantoux)",{"term":28,"count":11},"遲發型過敏反應",{"term":30,"count":11},"陽性判讀切點",{"term":32,"count":11},"卡介苗(BCG)接種對象",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-fundamental-nursing-019","執行醫囑「Ampicillin 250 mg I.M. q8h」，下列何者正確？",19,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-2-fundamental-nursing-035","王太太右側肢體偏癱，協助採側臥時，下列措施何者錯誤？",35,2,{"webId":44,"stem":45,"number":46,"year":10,"session":47},"nurse-112-3-fundamental-nursing-049","某護理師和同儕相處融洽，績效考核時主管可能因此給予其較高的分數，屬於下列何種考核偏差？",49,3,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-fundamental-nursing-047","有關資訊系統能提升護理效能的敘述，下列何者正確？①使用條碼辨識病人，可減少給藥三讀五對流程   ②減少護理紀錄重複抄寫時間     ③增進護理管理效率     ④衛教資料資訊化，不用花費時間衛教",47,114,{"webId":54,"stem":55,"number":11,"year":56,"session":11},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",106,{"webId":58,"stem":59,"number":41,"year":60,"session":11},"nurse-107-1-fundamental-nursing-035","有關導致尿瀦留之因素，下列何者最不可能？",107,"2026-09-04",1788510741081]