[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"產兒科護理學","maternal-pediatric",{"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-114-1-產兒科護理學-048","nurse-114-1-maternal-pediatric-048",114,1,48,"芷妹，9歲，因頭痛、發燒就醫，診斷為病毒性腦膜炎（virus meningitis）入院治療，有關此疾病相關症狀和治療，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"最主要的治療是儘早給與抗生素","大部分由腸病毒及腮腺炎病毒引起","腦脊髓液外觀通常清澈","少有神經功能障礙後遺症","A",null,[],"本題考點在於病毒性腦膜炎的病原、病程與治療特性。本題為反向題，錯誤敘述為 A：病毒性腦膜炎屬病毒感染，抗生素對病毒無效，治療以支持性療法為主，「儘早給抗生素」是「細菌性」腦膜炎的處置，故 A 錯誤。B 病毒性腦膜炎大多由腸病毒（enterovirus）及腮腺炎病毒等引起，正確。C 其腦脊髓液外觀通常清澈、以淋巴球增多為主、糖正常，不同於細菌性的混濁膿樣，正確。D 病程多屬自限性、預後良好、少留神經後遺症，正確。","細菌性 vs 病毒性腦膜炎鑑別靠 CSF：細菌性外觀混濁、嗜中性球高、糖↓↓、蛋白↑↑，須緊急抗生素；病毒性外觀清澈、淋巴球高、糖正常、蛋白略升，採支持療法（退燒、止痛、補水），多自限痊癒。最常見病原為腸病毒。護理重點：症狀緩解、監測神經徵象、腸病毒者加強手部與糞口途徑防護。",[24,27,30,32],{"term":25,"count":26},"腸病毒",3,{"term":28,"count":29},"病毒性腦膜炎",2,{"term":31,"count":29},"支持性療法",{"term":33,"count":10},"腦脊髓液清澈",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-maternal-pediatric-049","張小弟，10歲，診斷為裘馨氏肌失養症（Duchenne muscular dystrophy），有關病因和臨床表徵，下列敘述何者錯誤？",49,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-114-3-maternal-pediatric-045","當 3 歲的腦瘤女童出現下列何種徵象時，護理師應進一步評估是否為顱內壓上升？",45,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-115-2-maternal-pediatric-039","有關流行性感冒與一般感冒之差異，下列敘述何者錯誤？",39,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-027","有關新貝拉德（New Ballard Score）新生兒神經肌肉成熟度的評估方法，下列何者正確？",27,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-071","王小弟，3 歲，罹患法洛氏四重症。每天早上 9 點與晚上 9 點需服用毛地黃。若在早上需服藥時間的 3 小時後，發現遺漏服用，下列護理措施何者正確？",71,108,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-109-2-maternal-pediatric-025","有關母乳之敘述，下列何者正確？",25,109,"2026-09-04",1788510758063]