[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-112-1-內外科護理學-050","nurse-112-1-medical-surgical-050",112,1,50,"有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"CD4 細胞數值在 350 cells\u002FμL 以下容易發生","以口腔念珠球菌感染最為常見","巨細胞病毒（CMV）感染的治療可服用 Zovirax","肺囊蟲肺炎感染會造成病人乾咳、用力咳嗽症狀","D",null,[],"本題考點在於愛滋病（AIDS）病人伺機性感染的特徵辨識。正確敘述為 D：肺囊蟲肺炎（PCP）是 AIDS 最常見且致命的伺機性感染之一，典型表現為漸進性乾咳、用力咳嗽與運動性呼吸困難，故 D 正確。A 錯誤，伺機性感染多在 CD4 低於 200 cells\u002FμL 才明顯好發，非 350；B 錯誤，最常見的伺機性感染以肺囊蟲肺炎為代表，口腔念珠菌雖常見但非最具指標性；C 錯誤，巨細胞病毒感染治療用 Ganciclovir，Zovirax（Acyclovir）主要對抗疱疹病毒，效果不足。","CD4 分層是關鍵時間軸：\u003C500 出現帶狀疱疹、口腔念珠菌；\u003C200 好發 PCP；\u003C100 弓漿蟲腦炎、隱球菌腦膜炎；\u003C50 CMV 視網膜炎、非典型分枝桿菌。PCP 預防用口服 TMP-SMX。抗病毒藥須分辨譜系：Acyclovir 對 HSV\u002FVZV，Ganciclovir 對 CMV，兩者不可混用。可連結愛滋定義即 CD4\u003C200 或出現指標性伺機感染。",[24,27,30,32,34],{"term":25,"count":26},"伺機性感染",7,{"term":28,"count":29},"乾咳",2,{"term":31,"count":10},"肺囊蟲肺炎",{"term":33,"count":10},"CD4 小於 200",{"term":35,"count":10},"Ganciclovir 治療 CMV",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-medical-surgical-051","協助醫師拔除胸管時，應指導病人採取下列何種呼吸方式？",51,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-112-2-medical-surgical-067","有關皮質醇（Cortisol）之敘述，下列何者正確？",67,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-medical-surgical-031","有關全身性紅斑性狼瘡（SLE）臨床表徵之敘述，下列何者錯誤？",31,113,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-114-2-medical-surgical-029","有關第一型單純疱疹之敘述，下列何者正確？①容易再度復發 ②感染痊癒後會潛伏於神經根節 ③由水痘病毒感染後所引起的 ④多感染於會陰部",29,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-033","病人下肢出現腫脹、發紅、溫熱感且霍曼氏徵象（Homan’s Sign）呈陽性反應，下列何者為其最有可能的診斷？",33,106,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-107-1-medical-surgical-067","有關副甲狀腺機能亢進病人之臨床表徵，下列何者正確？①便祕 ②低血鈣 ③骨質疏鬆 ④心律不整 ⑤高血磷",107,"2026-09-04",1788510742140]