[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-050","nurse-114-2-medical-surgical-050",114,2,50,"有關困難梭狀桿菌相關腹瀉（Clostridium difficile associated diarrhea）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"困難梭狀桿菌為厭氧性革蘭陽性桿菌，容易在醫療環境中形成孢子體","易感染年長者或住院病人在長期使用抗生素者","首選治療藥物為靜脈注射 Vancomycin","腹瀉期間採接觸隔離","C",null,[],"本題考點在於困難梭狀桿菌相關腹瀉的病原特性與治療。本題為反向題,錯誤敘述為 C:困難梭狀桿菌感染的首選治療應為「口服」Vancomycin 或 fidaxomicin(口服 Vanco 幾乎不吸收、能在腸腔內達高濃度殺菌),靜脈注射 Vancomycin 因不進入腸腔而無效,故 C 錯誤選之。A 正確,C. difficile 為厭氧性革蘭陽性桿菌,可形成孢子體存活於環境。B 正確,好發於年長者、住院及長期使用廣效抗生素破壞正常腸道菌叢者。D 正確,腹瀉期間因孢子抗酒精,須採接觸隔離並以肥皂洗手、環境用含氯消毒。比對後唯 C 給藥途徑錯誤。","關鍵反直覺點:抗生素造成的感染反而用「口服」抗生素治療,因目標在腸腔而非血流。孢子對酒精性乾洗手無效,故照護 C. difficile 病人必須「肥皂加水」洗手、環境以漂白水擦拭。復發率高,嚴重或反覆者可考慮糞便微生物移植重建腸道菌叢。",[24,26,29,31,33],{"term":25,"count":10},"接觸隔離",{"term":27,"count":28},"困難梭狀桿菌",1,{"term":30,"count":28},"口服 Vancomycin",{"term":32,"count":28},"孢子體",{"term":34,"count":28},"抗生素相關腹瀉",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":28,"year":9,"session":39},"nurse-114-3-medical-surgical-001","有關癲癇病人的症狀及其治療，下列敘述何者最不適當？",3,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-115-1-medical-surgical-047","有關過敏性休克之敘述，下列何者正確？①接觸的過敏原可能來自藥物、食物、昆蟲叮咬等              ②發生嚴重支氣管擴張及呼吸困難           ③脈搏次數增快、血壓可能正常或降低   ④通常可立即注射 epinephrine改善情況",47,115,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-106-1-medical-surgical-041","有關乳癌之敘述，下列何者錯誤？",41,106,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-107-1-medical-surgical-079","下列何者為預防傳染病與減輕傳染病傷害最有效的方法？",79,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-medical-surgical-043","王先生從火災現場被救出，評估發現其鼻毛燒焦、聲音嘶啞、喘鳴聲、碳粒痰、呼吸有燒焦味，下列何者為王先生最可能的診斷？",43,108,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-2-medical-surgical-077","有關敗血症生理病理機轉之敘述，下列何者正確？",77,109,"2026-09-04",1788510759927]