# 一位健康的 42 歲個案表示未曾接受過 C 型肝炎檢測，也無已知的暴露史。護理師應如何回應？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: HPM ## 題目 一位健康的 42 歲個案表示未曾接受過 C 型肝炎檢測，也無已知的暴露史。護理師應如何回應？ ## 選項 1. 應在出現慢性肝病症狀後再進行檢測 2. C 型肝炎篩檢適用於您這個年齡層的無症狀成人 **✔ 正確答案** 3. 篩檢僅限於記得有針扎或輸血暴露史的個案 4. 可等到常規肝酵素結果持續異常時再檢測 **正確答案: 2** ## 解析 美國預防服務工作小組建議對 18 至 79 歲的成人進行 C 型肝炎篩檢，包括無已知危險因子或症狀者。若持續有風險，初次篩檢後可能需要定期檢測。 ## 深入解析 快速解答 為這位無症狀的 42 歲成人提供 C 型肝炎篩檢。 為什麼這是正確的 C 型肝炎可能在臨床上無症狀，卻持續造成肝臟損傷，且許多人並未察覺過去的暴露史。依年齡進行的篩檢能及早發現感染，以便進行確認檢驗、諮詢及根治性治療。 簡單比喻或心智圖像 篩檢就像在可見的損壞出現前檢查隱藏的線路。它能發現未察覺的問題，但這個比喻不代表每個抗體陽性結果都證實為現行感染；仍需要確認性的 RNA 檢測。 記憶掛鉤 18 至 79 歲的成人需要篩檢；持續有風險代表需要重複篩檢。 NCLEX 決策規則 即使個案自覺健康且無風險通報，仍應依預防建議執行。當適用年齡別篩檢時，不應等待症狀、肝酵素異常或記得的暴露史才進行。 為什麼其他選項是錯的 等待症狀出現可能錯失多年的無症狀感染期。限制篩檢於記得的暴露史，會遺漏年齡別建議所涵蓋成人中的無症狀感染。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]USPSTF Clinical Summary: Hepatitis C Virus Infection ScreeningU.S. Preventive Services Task Force ## 相同主題題目 - [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=zh-tw) - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=zh-tw) - [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498860&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_