[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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-115-1-精神科與社區衛生護理學-037","nurse-115-1-psychiatric-community-037",115,1,37,"有關沙門氏桿菌，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"避免食用未經煮熟的蛋類製品","潛伏期平均為48～96小時","感染症狀為噁心、嘔吐、腹痛及發燒等","治療以補充水分及電解質為主","B",null,[],"本題考點為沙門氏桿菌食品中毒的流行病學特性。沙門氏桿菌屬感染型細菌性食品中毒,須攝入足量活菌並在腸道增殖後才致病,其潛伏期一般為 6 至 72 小時,平均約 18 至 36 小時,選項所述 48 至 96 小時明顯過長,與教科書及疾管署資料不符,故 B 最不適當,為正解。A 適當:生蛋、蛋殼與未煮熟蛋製品是主要傳染來源,徹底加熱可有效預防。C 適當:典型症狀為噁心、嘔吐、腹痛、腹瀉合併發燒,發燒是感染型中毒的特徵。D 適當:多為自限性,處置以補充水分與電解質、維持體液平衡為主,一般不常規使用抗生素。","細菌性食品中毒可依機轉分兩類記憶:感染型須活菌增殖,潛伏期較長且常發燒,代表菌為沙門氏桿菌、腸炎弧菌(海產、需含鹽環境)、病原性大腸桿菌;毒素型由預先形成的外毒素致病,潛伏期短且多不發燒,代表為金黃色葡萄球菌(1 至 6 小時,常見於糕點、飯糰,毒素耐熱)、仙人掌桿菌(炒飯型嘔吐 1 至 6 小時、腹瀉型 8 至 16 小時)、肉毒桿菌(神經毒素造成對稱性下行性麻痺)。口訣:「潛伏短、不發燒想毒素;潛伏長、會發燒想感染」。延伸概念:食品中毒判定為二人以上攝食後出現相同症狀,肉毒桿菌與化學性中毒一人即成案。",[24,27,29,31],{"term":25,"count":26},"沙門氏桿菌",2,{"term":28,"count":10},"感染型食品中毒",{"term":30,"count":10},"潛伏期",{"term":32,"count":10},"食品中毒處置原則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-psychiatric-community-038","下列何者為室內空氣品質的指標？",38,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-psychiatric-community-034","有關精神病人居家照護服務，下列何者正確？",34,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-psychiatric-community-048","造成家庭暴力與虐待事件的社會因素包括那些？①工作壓力 ②家庭管教方式 ③媒體學習 ④醫療制度",48,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-psychiatric-community-006","有關鬱症的敘述，下列何者最適切？",6,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-psychiatric-community-050","下列何種方式可以蒐集社區居民對社區問題的了解及解決的動機，有助於排定執行的優先次序？",50,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-psychiatric-community-004","關於精神衛生護理工作範圍，居家護理師於病人出院後，協助強化其社交技巧，此項照護較屬於下列何者？",4,111,"2026-08-06",1787299090105]