[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-030":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-030","nurse-113-2-medical-surgical-030",113,2,30,"有關類風溼性關節炎醫療處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"發炎活動期，可冷敷勿按摩關節","Omega-3 脂肪酸可改善類風溼性關節炎症狀","關節發生感染時應於關節內注射類固醇治療","抗腫瘤壞死因子藥物能讓關節紅腫熱痛在給藥後 1～2 週改善","C",null,[],"本題考點在於類風濕性關節炎(RA)的處置原則,屬反向題。當關節發生「感染」時,關節腔內注射類固醇會抑制局部免疫、助長細菌繁殖而加重感染,屬禁忌,故 C 為錯誤敘述、即為答案。A 正確,發炎活動期宜冷敷減輕紅腫熱痛並避免按摩發炎關節以免加劇。B 正確,Omega-3 脂肪酸具抗發炎作用,可輔助改善 RA 症狀。D 正確,抗腫瘤壞死因子(anti-TNF)生物製劑可較快緩解關節紅腫熱痛。逐一比對,唯 C 在感染情境下誤用關節內類固醇,與感染控制原則相衝突。","RA 為對稱性多關節滑膜炎的自體免疫病,治療用 DMARDs(如 Methotrexate)與 anti-TNF 生物製劑控制病程。關節腔類固醇僅用於「非感染性」發炎;疑化膿性關節炎時須抽關節液培養並用抗生素,禁打類固醇。記憶:關節「感染」時類固醇是地雷,別往裡打。",[24,27,30,32],{"term":25,"count":26},"類風濕性關節炎",10,{"term":28,"count":29},"感染關節禁用關節內類固醇",1,{"term":31,"count":29},"anti-TNF 生物製劑",{"term":33,"count":29},"急性期冷敷勿按摩",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-031","汪先生診斷為肺癌並接受右肺葉切除術，下列何者為其最適合的術後姿勢臥位？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-medical-surgical-027","有關帶狀疱疹臨床症狀之敘述，下列何者正確？",27,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-medical-surgical-021","有關真性紅血球增多症常見的併發症，下列敘述何者最不適當？",21,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-1-medical-surgical-069","有關糖尿病病人飲食控制原則之敘述，下列何者正確？",69,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-medical-surgical-033","有關降低心衰竭病人心臟後負荷之措施，下列何者正確？",33,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-medical-surgical-067","有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",67,108,"2026-09-04",1788510755129]