[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":11},"nurse-115-2-基本護理學與護理行政-047","nurse-115-2-fundamental-nursing-047",115,2,47,"下列那一項為第四類傳染病且需 1 個月內通報，且死亡後的遺體不得深埋，火化溫度需達 1,000 度且持續 30 分鐘？",{"A":15,"B":16,"C":17,"D":18},"嚴重急性呼吸道症候群","炭疽病","庫賈氏病","退伍軍人病","C",null,[],"本題考點是傳染病防治法的分類與通報時限,並搭配特殊的遺體處理規定。庫賈氏病屬第四類傳染病,應於一個月內完成通報;其致病原為變異的普里昂蛋白(prion),不含核酸,對常規消毒劑、高壓蒸氣與一般高溫均具極強抵抗力,因此遺體不得以深埋方式處理,須焚化且溫度達 1,000℃ 並持續 30 分鐘,故選 C。A 嚴重急性呼吸道症候群屬第一類傳染病,須於 24 小時內通報並施行強制隔離。B 炭疽病屬第二類傳染病,通報時限為 24 小時。D 退伍軍人病雖同屬第四類,但病原為存在於水源與冷卻水塔的退伍軍人菌,並無此遺體焚化規定。","台灣法定傳染病分五類,通報時限可用「一二三四五」對應記:第一類 24 小時內、第二類 24 小時內、第三類一週內、第四與第五類則依中央主管機關公告,庫賈氏病實務上為一個月內通報。普里昂的特殊性是本題設計的關鍵:它以錯誤折疊的蛋白質構型作為傳染單位,能誘導正常蛋白跟著錯折,故不受破壞核酸的消毒方式影響,器械處理需採更嚴格的滅菌條件或改用拋棄式,病理檢體與遺體亦有專屬規範,深埋無法保證病原滅除,因此改採高溫焚化。臨床表現可連結快速進展的失智、肌抽躍與小腦症狀,病程短且目前無有效治療,屬中樞神經退化性感染症。",[25,27,29,31,33],{"term":26,"count":11},"傳染病防治法分類",{"term":28,"count":11},"通報時限",{"term":17,"count":30},1,{"term":32,"count":30},"普里昂蛋白",{"term":34,"count":30},"遺體焚化規定",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-fundamental-nursing-048","有關預防醫療糾紛，下列何者最不適當？",48,{"webId":41,"stem":42,"number":43,"year":44,"session":11},"nurse-106-2-fundamental-nursing-014","病人術後第一天 24 小時輸入輸出量紀錄為大量點滴輸入 1200 mL，小便 1500 mL，傷口引流液 550 mL，鼻胃管引流液 550 mL，輸血 200 mL，下列護理處置何者最適宜？",14,106,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-107-1-fundamental-nursing-028","下列何者為高血鈉病人常見的症狀？",28,107,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-108-1-fundamental-nursing-066","有關臉書等社群網站的溝通原則，下列何者不適當？",66,108,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-109-2-fundamental-nursing-030","0.45% NaCl 靜脈輸注溶液，適用於下列何者情境？",30,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-110-2-fundamental-nursing-064","衝突發生時，雙方都認為自己是對的，而不聽對方或旁觀者的意見，有關緩解衝突的原則，下列何者較不適當？",64,110,"2026-08-06",1787299031936]