[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-3-內外科護理學-017","nurse-112-3-medical-surgical-017",112,3,17,"有關慢性鼻竇炎的原因，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"由於急性鼻竇炎未完全治療所致","與鼻息肉生成無關","常由流行性感冒嗜血桿菌引起","常見的感染致病菌為好氧菌","A",null,[],"本題考點在於慢性鼻竇炎的成因。依鼻竇炎病生理，慢性鼻竇炎多因急性鼻竇炎未獲完全治療、反覆發炎導致竇口引流阻塞與黏膜慢性變化所致，故選 A。判斷關鍵是「急性未癒轉為慢性」。B 錯誤，鼻息肉會阻塞鼻竇引流通道，與慢性鼻竇炎關係密切而非無關。C 錯誤，流行性感冒嗜血桿菌較常見於急性感染，慢性鼻竇炎致病菌組成不同。D 錯誤，慢性鼻竇炎常見厭氧菌與混合菌感染，而非以好氧菌為主。","鼻竇炎的核心病生理是「竇口鼻道複合體阻塞」造成引流不良、分泌物滯留繼發感染。急性多為單一細菌（如肺炎鏈球菌、流感嗜血桿菌）；慢性則常為厭氧菌與多菌種混合，並與鼻息肉、鼻中膈彎曲、過敏等結構或體質因素互為因果。治療除抗生素外，重點在恢復引流（鼻沖洗、類固醇噴劑，必要時內視鏡手術）。此題部分選項涉及較細的菌學區辨，作答以「急性未癒→慢性」的主軸最穩妥。",[24,27,29,31],{"term":25,"count":26},"慢性鼻竇炎",1,{"term":28,"count":26},"急性鼻竇炎未治療",{"term":30,"count":26},"鼻竇引流阻塞",{"term":32,"count":26},"厭氧菌感染",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-018","有關心臟去纖維震顫器使用的敘述，下列何者錯誤？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-014","有關美尼爾氏症（Meniere’s disease）之護理指導，下列敘述何者錯誤？",14,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-medical-surgical-008","肝性腦病變的病人給與Lactulose的目的，下列何者正確？",8,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-006","有關腸阻塞之敘述，下列何者錯誤？",6,115,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-106-2-medical-surgical-080","有關體溫過低病人採取回溫措施期間的支持性處置，下列何者錯誤？",80,106,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-medical-surgical-034","有關封閉式體內放射線治療之敘述，下列何者錯誤？",34,108,"2026-09-04",1788510744924]