[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":38,"lastmod":67},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-115-1-基本護理學與護理行政-025","nurse-115-1-fundamental-nursing-025",115,1,25,"關於發燒的類型，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"一段時間體溫反覆發燒又回復正常，常見於術後傷口感染","高熱期和退熱期交替出現，常見於肺結核","體溫24小時的波動相差2℃以上，常見於傷寒","24小時的體溫波動範圍，相差不超過1℃，常見於大葉性肺炎","B",null,[],"本題考點在發燒熱型的定義與代表疾病配對。依熱型定義,間歇熱的特徵是體溫升到高峰後又降回正常範圍、如此規律反覆,典型代表疾病是瘧疾,肺結核並不是間歇熱的代表疾病,故 B 的配對錯誤。A 描述體溫反覆上升又回復正常的曲線,術後傷口感染因感染源間歇釋放致熱原,體溫確實可起可落,屬合理配對。C 描述二十四小時波動超過二度而體溫不降回正常的弛張熱,各版教材對其代表疾病列舉不一,有列敗血症與化膿性感染、也有把傷寒病程納入,並非本題明確要挑的錯項。D 描述二十四小時波動不超過一度的稽留熱,大葉性肺炎是常見代表。","四型定義先背清楚,再看代表疾病:稽留熱(持續高溫,二十四小時波動小於一度);弛張熱(波動大於二度但始終不降到正常);間歇熱(高溫期與正常體溫期規律交替);回歸熱(發熱期與無熱期各持續數天以上再交替,典型見於回歸熱螺旋體感染、布氏桿菌病與何杰金氏淋巴瘤)。發燒過程分三期:發冷期體溫調節中樞的設定點上移,出現發抖、寒顫與周邊血管收縮以蓄熱;發熱期熱量產生與散失在新設定點達平衡,皮膚乾熱;退熱期設定點下移,出現流汗與皮膚潮紅。要留意的侷限是熱型的代表疾病在不同教材列法略有差異,作答時以「哪一個配對明顯與定義衝突」為判準最穩。可延伸複習:致熱原經由中樞介質(prostaglandin E2)使體溫設定點上移的機轉、不同測量部位的體溫差異。",[25,28,31,34,36],{"term":26,"count":27},"發燒三期",5,{"term":29,"count":30},"弛張熱",3,{"term":32,"count":33},"稽留熱",2,{"term":35,"count":11},"間歇熱與瘧疾",{"term":37,"count":11},"體溫調節設定點",[39,43,48,52,57,62],{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-115-1-fundamental-nursing-026","病人雙側手臂因骨折以石膏固定，有關血壓測量的敘述，下列何者正確？",26,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-106-1-fundamental-nursing-022","炎炎夏日小美覺得口渴，有關此時她的體液電解質調節機轉，下列敘述何者錯誤？",22,106,{"webId":49,"stem":50,"number":51,"year":47,"session":33},"nurse-106-2-fundamental-nursing-036","蔣奶奶 16 小時未解尿，膀胱脹，經誘尿無效需導尿。下列護理措施何者較不適當？",36,{"webId":53,"stem":54,"number":55,"year":56,"session":33},"nurse-107-2-fundamental-nursing-074","要達成群體目標時，民主式領導者較少藉助下列何項？",74,107,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-109-1-fundamental-nursing-038","根據下列四位住院病人之生命徵象測量結果，何者應最優先處理？",38,109,{"webId":63,"stem":64,"number":65,"year":66,"session":11},"nurse-110-1-fundamental-nursing-072","在單位中若大部分的護理同仁為資淺且臨床能力較不足，但仍有意願完成工作，基於情境領導理論，此時護理長宜採取下列何項領導行為？",72,110,"2026-08-06",1787299088238]