[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-106-2-內外科護理學-001","nurse-106-2-medical-surgical-001",106,2,1,"林先生因頭部外傷需要裝置顱內壓監測系統的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人體外零點的正確位置等同腦室內的室間孔（foramen of Monro）","應觀察插管處有無滲漏或發炎現象","調整病人床頭不會造成體外監測系統零點位置的改變","可以適度引流腦脊髓液以降低顱內高壓","C",null,[],"本題考點為顱內壓監測系統的零點校正原理。體外壓力轉換器的零點須對齊腦室內室間孔(foramen of Monro)所在高度,才能正確反映顱內壓,故A正確;插管處應觀察有無滲漏或發炎以防感染,B正確;經腦室導管可適度引流腦脊髓液以降低顱內高壓,D正確。C主張「調整床頭不會改變零點位置」則錯誤——一旦升降床頭,病人頭部相對於轉換器的高度即改變,零點會隨之偏移,必須重新校正歸零,否則讀值失真,故此為錯誤敘述,選C。核心在轉換器與參考點的相對高度不可任意變動。","壓力監測(顱內壓、動脈壓、中心靜脈壓)共通鐵律:轉換器零點須固定對齊特定解剖參考點——顱內壓對foramen of Monro(約外耳道處)、動脈與中心靜脈壓對右心房(腋中線第4肋間)。只要改變病人姿勢或床頭高度,參考點與轉換器的相對落差改變,就須重新調零(re-zero),否則過高或過低讀值會誤導判斷。此為所有侵入性壓力監測的通則,考點反覆出現。",[24,26,28,30],{"term":25,"count":10},"顱內壓監測",{"term":27,"count":11},"零點校正",{"term":29,"count":11},"室間孔(foramen of Monro)",{"term":31,"count":11},"腦脊髓液引流",[33,36,41,45,50,55],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-106-2-medical-surgical-002","林先生手術移除額葉腦腫瘤後返回神經外科加護單位觀察，病人突然全身性抽搐，下列措施何者不適當？",{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-107-1-medical-surgical-018","有關下肢截肢手術後的護理措施，下列何者錯誤？",18,107,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-107-2-medical-surgical-032","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心臟衰竭。護理師助張先生作身體檢查與評估時，下列何項檢查因心臟衰竭而可能會有陽性反應發現？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-2-medical-surgical-070","長期口服或注射類固醇病人最可能出現的副作用，下列何者正確？",70,108,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-110-1-medical-surgical-034","決定心搏出量（stroke volume）的要素，下列何者錯誤？",34,110,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-111-1-medical-surgical-068","有關經尿道前列腺切除術的敘述，下列何者錯誤？",68,111,"2026-09-04",1788510698215]