[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-1-內外科護理學-055","nurse-112-1-medical-surgical-055",112,1,55,"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",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","D",null,[],"本題考點在於多重抗藥性結核病（MDR-TB）的定義。MDR-TB 的診斷標準是同時對第一線最重要的兩種殺菌藥 Isoniazid（②）與 Rifampin（④）產生抗藥性，故組合為②④，選 D。①Ethambutol 與③Pyrazinamide 雖屬第一線四合一用藥的成員，但單獨對其抗藥並不構成 MDR-TB 的定義，MDR 的關鍵在於同時失去 Isoniazid 與 Rifampin 這兩支核心藥物的療效，故不選含①或③的組合。","抗藥性結核分層須清楚：MDR-TB 指至少對 INH+RIF 抗藥；pre-XDR 再加對任一 fluoroquinolone 抗藥；XDR-TB 則再對 bedaquiline 或 linezolid 等抗藥。第一線標準四藥記憶 RIPE：Rifampin、Isoniazid、Pyrazinamide、Ethambutol。Isoniazid 與 Rifampin 是療效與復發控制的支柱，故其抗藥性定義嚴重度，並影響療程延長與二線藥選用。",[24,27,29,31,33],{"term":25,"count":26},"Isoniazid",2,{"term":28,"count":26},"Rifampin",{"term":30,"count":10},"多重抗藥性結核",{"term":32,"count":10},"MDR-TB 定義",{"term":34,"count":10},"第一線抗結核藥",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-056","有關接受肺葉切除手術病人之護理，下列敘述何者正確？",56,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-112-2-medical-surgical-072","有關升糖指數飲食指導之敘述，下列何者正確？①升糖指數是指人體食用含醣食物後，血中葡萄糖反應的速度和強度 ②糖尿病人要選擇高升糖指數食物，以免造成低血糖 ③乳品類食物升糖指數較高，常見的食物，如：全脂奶 ④全穀類食物升糖指數較低，常見的食物，如：全麥早餐穀類",72,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",36,113,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-114-2-medical-surgical-034","急性呼吸窘迫症候群（ARDS）病人產生表面張力素的肺細胞受損，會導致病人出現下列何種問題？",34,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-038","有關再生不良性貧血之敘述，下列何者錯誤？",38,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-medical-surgical-072","有關尿崩症病人之照護與處置，下列何者不適當？",107,"2026-09-04",1788510742191]