[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-115-1-內外科護理學-014","nurse-115-1-medical-surgical-014",115,1,14,"下列何種病毒與罹患鼻咽癌有關？",{"A":14,"B":15,"C":16,"D":17},"EB病毒（Epstein-Barr virus）","COVID-19病毒（Coronavirus Disease-2019）","A型流感病毒（Influenza A virus）","B型流感病毒（Influenza B virus）","A",null,[],"本題考點是特定病毒與癌症的關聯。依鼻咽癌的致病機轉,Epstein-Barr 病毒可潛伏於鼻咽部上皮細胞並使細胞基因表現改變,與遺傳體質、醃漬食物中的亞硝胺等環境因子共同作用而促成癌變,臨床上血中 EB 病毒抗體與 DNA 濃度可作為篩檢與治療追蹤指標,故選 A。B 錯:COVID-19 病毒造成的是急性呼吸道感染,未被列為鼻咽癌病因。C、D 錯:A 型與 B 型流感病毒引起季節性流行性感冒,屬急性自限性感染,不具此種潛伏致癌特性。","EB 病毒本身也與感染性單核球症、伯基特淋巴瘤及移植後淋巴增生疾病有關,是典型的「一病毒多疾病」考點。鼻咽癌因位置隱密,早期常以單側頸部無痛淋巴結腫大、鼻涕帶血、單側耳悶或聽力下降就診,腫瘤壓迫耳咽管開口是耳部症狀的解剖理由。治療以放射治療為主軸,故護理重點在口腔黏膜炎、口乾、皮膚反應與張口運動。其他常考的病毒與癌症配對:人類乳突病毒與子宮頸癌、B 與 C 型肝炎病毒與肝細胞癌、人類 T 細胞淋巴瘤病毒與成人 T 細胞白血病,可整組一起記。",[24,26,28,30],{"term":25,"count":10},"Epstein-Barr 病毒",{"term":27,"count":10},"鼻咽癌致病因子",{"term":29,"count":10},"病毒與癌症關聯",{"term":31,"count":10},"EB 病毒抗體篩檢",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-medical-surgical-015","有關病人使用青光眼用藥Timolol的護理指導，下列何者錯誤？",15,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-medical-surgical-011","有關預防傾倒症候群之護理指導，下列何者正確？ ①採取少量多餐 ②採高脂肪、高蛋白、低醣飲食 ③用餐時可多進食液體食物 ④用餐時可採半坐臥姿勢，進食後則躺下休息",11,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-medical-surgical-025","李先生 75 歲由家人送至急診室，主訴有胸悶、噁心、呼吸困難情形，外觀臉色蒼白、情緒顯焦慮，下列護理措施何者不適宜？",25,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-medical-surgical-063","下列何者為確立無痛性血尿是否為膀胱癌之最佳診斷檢查？",63,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-medical-surgical-027","有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",27,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-1-medical-surgical-061","有關血液透析（HD）與持續可攜帶式腹膜透析（CAPD）治療的敘述，下列何者錯誤？",61,110,"2026-08-06",1787299088681]