[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-114-2-內外科護理學-048","nurse-114-2-medical-surgical-048",114,2,48,"下列何者不是腸病毒 71 型病人併發重症的前兆？",{"A":14,"B":15,"C":16,"D":17},"持續體溫 38℃","持續昏睡","持續嘔吐","持續肌躍型抽搐","A",null,[],"本題考點在於腸病毒 71 型併發重症的前兆辨識。依疾管署重症前兆指標,包含嗜睡與意識改變、持續嘔吐、肌躍型抽搐(myoclonic jerk,睡覺時突發性全身肌肉收縮)與持續高燒等神經受侵犯徵象;體溫僅持續 38℃屬一般發燒範圍,並非重症前兆,故本題問「不是前兆」者選 A。B 持續昏睡屬中樞神經侵犯前兆。C 持續嘔吐反映顱內壓上升或腦幹受侵。D 持續肌躍型抽搐是最具指標性的重症前兆。三者皆為神經侵犯警訊,唯 A 的低度發燒不列入。","腸病毒 71 型重症進展快,神經性肺水腫與心肺衰竭可於數小時內致命,故家長衛教「四大前兆」:嗜睡、持續嘔吐、肌躍型抽搐、心跳呼吸急促。出現任一項須儘速就醫。肌躍型抽搐是腦幹腦炎的早期表現,與一般熱痙攣不同,常在安靜或入睡時發作。",[24,26,29,31],{"term":25,"count":10},"腸病毒 71 型",{"term":27,"count":28},"重症前兆",1,{"term":30,"count":28},"肌躍型抽搐",{"term":32,"count":28},"腦幹腦炎",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-049","有關成人高品質胸部按壓的敘述，下列何者正確？",49,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-045","劉女士因血糖控制不佳入院，下列病人平日之飲食攝取比例，何者不適宜？①碳水化合物類的食物約占每日總熱量的50～60％    ②脂肪類的食物約占每日總熱量的5～10％     ③飽和脂肪類的食物小於7％    ④蛋白質類的食物約占每日總熱量的30～35％",45,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-medical-surgical-039","人類乳突病毒（HPV）感染與下列何種癌症有關？",39,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-medical-surgical-077","劉小弟 13 歲，至海邊戲水不慎發生溺水，到達急診時體溫：34℃、心跳：102 次\u002F分、呼吸：32 次\u002F分、血壓：80\u002F60 mmHg，呼吸音出現瀰漫性水泡音，胸部 X 光呈現肺水腫。依據上述資料，以臺灣急診檢傷急迫度分級量表（TTAS）判斷病人目前溺水之嚴重程度，下列何者正確？",77,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-041","有關燒傷病人給與靜脈滴注「H 2 受體阻斷劑」類藥物（如 tagamet）之目的，下列何者正確？",41,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-075","糖尿病病人在下列何種情況下不宜增加胰島素的劑量？",75,109,"2026-09-04",1788510759915]