[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":11},"nurse-107-1-內外科護理學-002","nurse-107-1-medical-surgical-002",107,1,2,"林先生因置有腦室外引流系統而造成細菌感染，其腦脊髓液的實驗室檢查結果，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"蛋白質的量不變","蛋白質的量減少","葡萄糖的量減少","葡萄糖的量增加","C",null,[],"本題考點為細菌性中樞神經感染的腦脊髓液(CSF)變化。依細菌繁殖會消耗葡萄糖並引發化膿性發炎，故細菌性感染的 CSF 典型表現為葡萄糖下降、蛋白質上升、白血球(以多核球為主)增加、外觀混濁。腦室外引流併發細菌感染屬細菌性腦室炎\u002F腦膜炎，葡萄糖被細菌與發炎細胞耗用而減少，故C正確。A蛋白質不變、B蛋白質減少均與化膿性發炎使蛋白上升的機轉相反；D葡萄糖增加更與細菌耗糖方向相反，皆錯。","CSF 判讀是神經科高頻考點,建議記一張對照表:細菌性→糖↓、蛋白↑、混濁、多核球;病毒性→糖多正常、蛋白輕升、清澈、淋巴球;結核\u002F黴菌→糖↓↓、蛋白↑↑、淋巴球。細菌耗糖使 CSF 糖\u002F血糖比值常\u003C0.4,是鑑別關鍵。正常 CSF 糖約為血糖的三分之二(約 50-80 mg\u002FdL)、蛋白 15-45 mg\u002FdL。腦室外引流(EVD)是院內感染路徑,病原常為表皮葡萄球菌與革蘭氏陰性桿菌。",[24,26,28,30],{"term":25,"count":11},"腦脊髓液分析",{"term":27,"count":10},"細菌性腦膜炎",{"term":29,"count":10},"CSF 葡萄糖與蛋白質變化",{"term":31,"count":10},"腦室外引流感染",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-003","姚先生被車子碾過造成 T12，L1～L3 脊髓損傷，到達急診後出現脊髓休克，下列敘述何者錯誤？",3,{"webId":38,"stem":39,"number":40,"year":9,"session":11},"nurse-107-2-medical-surgical-019","有關軟組織損傷病人的護理評估結果，下列何者顯示可能有腔隙症候群？",19,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-108-1-medical-surgical-033","放射線治療對下列何類細胞的治療效果較差？",33,108,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-1-medical-surgical-071","有關高血磷病人的護理指導，下列何者正確？①少吃堅果類與糙米飯 ②多補充維生素 D ③監測小便量與肝功能 ④注意下床活動安全 ⑤服用磷結合劑",71,109,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-110-2-medical-surgical-035","有關癌症危險因子的敘述，下列何者錯誤？",35,110,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-111-2-medical-surgical-069","有關庫欣氏症候群（Cushing’s syndrome）的飲食指導，下列何者錯誤？",69,111,"2026-09-04",1788510702437]