[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-114-3-內外科護理學-019","nurse-114-3-medical-surgical-019",114,3,19,"針對正在接受化學治療病人的護理指導，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"勿與上呼吸道感染者接觸","勿食用生菜沙拉、生魚片","發燒時自行服用退燒藥","減少出入公共場所","C",null,[],"本題考點在於化學治療病人的居家自我照護指導,本題為反向題,問「最不適當」者。考點在於骨髓抑制下的發燒處置:化療常導致嗜中性球低下,此時發燒可能是嚴重感染的唯一警訊,不可自行服用退燒藥掩蓋病情,而須就醫評估,故『發燒時自行服用退燒藥』最不適當,選 C。A 避免接觸上呼吸道感染者以降低感染風險,正確。B 避免生菜沙拉、生魚片等未煮熟食物以防食源性感染,正確。D 減少出入公共場所以避免暴露病原,正確。三者皆屬感染預防,唯 C 忽略發燒的警訊意義,因此最不適當。","化療引發骨髓抑制,嗜中性球低下時免疫防禦薄弱,一旦體溫達 38 度即屬發燒性嗜中性球低下,是腫瘤急症,須儘速就醫評估並及早使用抗生素,自行退燒會延誤診治。居家預防含手部衛生、避免生食與人群、注意口腔與皮膚完整。記憶:化療病人『發燒不是小事』,要就醫不要自己壓退燒藥。",[24,27,30],{"term":25,"count":26},"嗜中性球低下發燒",2,{"term":28,"count":29},"化學治療骨髓抑制",1,{"term":31,"count":29},"感染預防指導",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-020","病人剛開始輸血 20 mL 就發生皮膚癢、蕁麻疹、哮喘，最有可能發生下列那一種輸血反應？",20,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-115-2-medical-surgical-016","有關 B 型利鈉胜肽（B-type Natriuretic peptide）檢查的敘述，下列何者正確？",16,115,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-106-1-medical-surgical-060","有關女性尿道炎發生原因之機率，下列何者最低？",60,106,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-107-2-medical-surgical-018","有關骨性關節炎照護的病人敘述，下列何者顯示需要進一步的護理指導？",18,107,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-108-2-medical-surgical-062","對於蔡先生在急診室測得的動脈血氧氣體分析結果：pH 7.25、PaCO 2 31 mmHg、HCO 3- 18 mEq\u002FL 之判讀，下列何者正確？",62,108,{"webId":58,"stem":59,"number":40,"year":60,"session":29},"nurse-110-1-medical-surgical-016","有關膽道疾病手術後放置 T 型管的護理措施，下列何者錯誤？",110,"2026-09-04",1788510762007]