[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-033","nurse-112-3-medical-surgical-033",112,3,33,"有關全身性紅斑性狼瘡（SLE）病人的診斷檢查結果，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"白血球數目增加","紅血球沉降速率下降","抗核性抗體（ANA）呈現陽性反應","血清中的補體 C 3 和 C 4 高於正常值","C",null,[],"本題考點在於全身性紅斑性狼瘡(SLE)的診斷檢驗結果。依SLE免疫學特徵,抗核抗體(ANA)呈陽性是最重要的篩檢指標,故C正確。A錯在SLE常出現白血球減少而非增加。B錯在紅血球沉降速率(ESR)在疾病活動期上升而非下降。D錯在補體C3、C4因免疫複合體大量消耗而低於正常值,並非高於正常。故選C。","ANA敏感度高但特異性低,確診常再驗抗dsDNA與抗Smith抗體(特異性高);補體C3、C4下降與抗dsDNA上升常反映疾病活動與腎臟侵犯。記憶:SLE活動時「補體降、抗體升、血球降、ESR升」。",[24,27,29,31],{"term":25,"count":26},"全身性紅斑性狼瘡(SLE)",2,{"term":28,"count":26},"抗核抗體(ANA)",{"term":30,"count":26},"紅血球沉降速率",{"term":32,"count":33},"補體C3\u002FC4",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-034","病人接受左肺切除術後使用胸管，下列護理措施何者最適當？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-medical-surgical-030","有關類風溼性關節炎醫療處置之敘述，下列何者錯誤？",30,113,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-114-1-medical-surgical-024","為一位乳癌骨轉移合併脊髓壓迫的病人進行身體評估時，下列症狀或徵象何者最不常出現？",24,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-medical-surgical-022","有關體內封閉式放射線治療之護理措施，下列何者最不適當？",22,115,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-107-1-medical-surgical-016","急性心肌梗塞最典型的臨床表徵，下列何者正確？",16,107,{"webId":60,"stem":61,"number":62,"year":63,"session":33},"nurse-108-1-medical-surgical-050","有關細胞性免疫之敘述，下列何者正確？",50,108,"2026-09-04",1788510745077]