[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":26},"nurse-112-2-內外科護理學-055","nurse-112-2-medical-surgical-055",112,2,55,"陳女士是氣喘病人，過去四週內發生：日間出現氣喘症狀每週一次、因氣喘在夜間醒來兩次、日常活動未因氣喘受影響、需要使用藥物緩解症狀每週超過兩次。依照 GINA（Global Initiative for Asthma, 2019）對氣喘控制程度，其屬於下列何者？",{"A":14,"B":15,"C":16,"D":17},"控制良好","部分控制","控制不佳","控制很差","B",null,[],"本題考點為 GINA（2019）氣喘控制程度的分級判讀。考點在於過去四週內的四項評估：日間症狀＞每週兩次、夜間因氣喘醒來、活動受限、需緩解藥物＞每週兩次，符合幾項決定分級。本例日間症狀每週一次（未超過兩次）、日常活動未受影響，但夜間醒來兩次（有）、需緩解藥物每週超過兩次（有），共符合 2 項，依 GINA 屬『部分控制』，故正解為 B。0 項為控制良好（A）、1–2 項為部分控制、3–4 項為控制不佳（C）。","GINA 氣喘控制評估以四問法在過去四週內判定：①日間症狀＞2 次／週？②任何夜間因氣喘醒來？③需緩解用藥＞2 次／週？④任何活動受限？符合 0 項＝良好控制、1–2 項＝部分控制、3–4 項＝未控制。本題關鍵在逐項核對而非直覺判斷：日間症狀每週一次不算超標，但夜間醒來與緩解藥使用超標各計一項，合計兩項落在部分控制。記憶『四問清單、數項定級：0良、1-2部分、3-4不佳』，避免被單一嚴重描述誤導。",[24,27,29,30],{"term":25,"count":26},"GINA氣喘控制分級",1,{"term":28,"count":26},"四週評估四問法",{"term":15,"count":26},{"term":31,"count":26},"夜間症狀與緩解藥使用頻率",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-2-medical-surgical-056","下列何者是誘發病人發生急性呼吸窘迫症候群（ARDS）最常見的危險因子？",56,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-113-1-medical-surgical-022","有關癌細胞轉移之敘述，下列何者錯誤？",22,113,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-113-3-medical-surgical-016","有關肥厚型心肌病變之病因，下列何者最正確？",16,3,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-115-1-medical-surgical-014","下列何種病毒與罹患鼻咽癌有關？",14,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-medical-surgical-038","下列何種疾病有 90%的病人體內可發現費城染色體（Philadelphia chromosome）？",38,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-medical-surgical-072","有關糖尿病人足部照護之敘述，下列何者正確？",72,107,"2026-09-04",1788510747746]