[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-內外科護理學-030","nurse-114-2-medical-surgical-030",114,2,30,"有關全身性紅斑性狼瘡之護理處置，下列何者不適當？",{"A":14,"B":15,"C":16,"D":17},"病情控制良好後 3～6 個月，可與醫生討論懷孕計畫","腎臓受侵犯時應採低鈉、低鉀、低蛋白飲食","關節炎的急性期可冷敷","避孕方法最好採取口服避孕藥","D",null,[],"本題考點在於全身性紅斑性狼瘡(SLE)的護理處置。本題為反向題,不適當者為 D:含雌激素的口服避孕藥可能誘發 SLE 病情活動並增加血栓風險,故不宜作為 SLE 病人的首選避孕方式,D 為答案。A 正確,病情穩定控制 3~6 個月後可與醫師討論懷孕計畫以降低孕期惡化風險。B 正確,腎臟(狼瘡性腎炎)受侵犯時採低鈉、低鉀、低蛋白飲食減輕腎負擔。C 正確,關節炎急性期可冷敷以減輕發炎腫痛。","SLE 是自體免疫疾病,雌激素被認為會加重疾病活性,故避孕優先選非荷爾蒙法或僅含黃體素的方式,尤其合併抗磷脂質抗體者血栓風險更高。護理要點:嚴格防曬(紫外線誘發皮膚與全身活化)、監測腎功能、規律服藥勿自行停類固醇。懷孕須待疾病緩解期並全程監測,是高危妊娠。",[24,27,30,32],{"term":25,"count":26},"全身性紅斑性狼瘡",12,{"term":28,"count":29},"雌激素誘發活化",1,{"term":31,"count":29},"狼瘡性腎炎飲食",{"term":33,"count":29},"避孕方式選擇",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-medical-surgical-031","有關類風溼性關節炎復健治療之敘述，下列何者正確？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-medical-surgical-027","王先生常年受過敏所苦，想要知道那種過敏原引起過敏反應，下列何項診斷檢查最合適？",27,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-021","老年人骨質疏鬆症發生骨折之部位，下列何者最不常見？",21,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-medical-surgical-059","有關服用抗結核菌藥物（Rifampin）病人尿液之顏色，下列何者正確？",59,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-medical-surgical-023","有關中心靜脈壓升高之原因，下列何者錯誤？",23,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-medical-surgical-057","一位被診斷為「疑似細菌性肺炎」的病人剛入院，最優先執行下列那一個醫囑？",57,109,"2026-09-04",1788510759724]