[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-029":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-113-2-內外科護理學-029","nurse-113-2-medical-surgical-029",113,2,29,"有關全身性紅斑性狼瘡之醫療處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"無法治癒，以降低炎症和損傷為主要治療目標","類固醇藥，可能使炎症反應降低","抗瘧疾藥，例如奎寧（Plaquenil）長期使用，需每 4～6 個月監測聽力變差的副作用","免疫抑制劑，可抑制其自體免疫反應，延緩腎損傷","C",null,[],"本題考點在於全身性紅斑性狼瘡(SLE)的用藥監測,屬反向題。抗瘧疾藥奎寧類(Hydroxychloroquine,Plaquenil)長期使用的重要毒性是「視網膜病變」,故須定期做眼科檢查而非監測聽力;C 把追蹤重點誤植為「聽力變差」,為錯誤敘述、即為答案。A 正確,SLE 無法根治,治療目標在控制發炎與減少器官損傷。B 正確,類固醇可抑制發炎反應,是急性期常用藥。D 正確,免疫抑制劑可壓制自體免疫、延緩狼瘡腎炎的腎損傷。逐一比對,唯 C 的監測項目對錯器官,其餘符合治療原則。","Hydroxychloroquine 常見不良反應為視網膜黃斑病變(視力\u002F色覺改變),建議基準與定期眼底檢查,而非聽力監測(聽力毒性較屬其他藥如水楊酸、胺基醣苷類)。SLE 治療階梯:NSAID\u002F抗瘧疾藥→類固醇→免疫抑制劑\u002F生物製劑。記憶:Plaquenil 顧「眼睛」不是耳朵。",[24,27,29,32],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":10},"類固醇抗發炎",{"term":30,"count":31},"Hydroxychloroquine 視網膜毒性",1,{"term":33,"count":31},"免疫抑制劑延緩腎損傷",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-medical-surgical-026","有關致癌因子及其相關癌症的敘述，下列何者需進一步提供護理指導以澄清誤解？",26,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-medical-surgical-020","病人剛開始輸血 20 mL 就發生皮膚癢、蕁麻疹、哮喘，最有可能發生下列那一種輸血反應？",20,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-106-1-medical-surgical-068","有關結腸癌之敘述，下列何者錯誤？",68,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-medical-surgical-032","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心臟衰竭。護理師助張先生作身體檢查與評估時，下列何項檢查因心臟衰竭而可能會有陽性反應發現？",32,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-medical-surgical-066","有關腎盂腎炎的敘述，下列何者錯誤？",66,108,"2026-09-04",1788510755108]