[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-107-1-內外科護理學-041","nurse-107-1-medical-surgical-041",107,1,41,"當病人出現眼睛疼痛、伴隨噁心嘔吐症狀，下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"隅角開放性青光眼","隅角閉鎖性青光眼","網膜剝離","白內障","B",null,[],"本題考點在急性眼痛合併噁心嘔吐的鑑別診斷。依急性隅角閉鎖性青光眼的病生理，前房隅角突然關閉使房水無法排出、眼壓急遽升高，除劇烈眼痛外常伴頭痛、噁心嘔吐與視力模糊、看燈有虹暈，故選 B。A 隅角開放性青光眼病程緩慢、多無痛，初期常無明顯症狀。C 網膜剝離表現為飛蚊、閃光及視野如布幕遮蔽，通常不痛。D 白內障為水晶體混濁造成的漸進性、無痛性視力減退，皆不會有急性眼痛與嘔吐的表現。","急性隅角閉鎖性青光眼屬眼科急症，眼壓可飆至 40–70 mmHg，角膜水腫致視物虹暈、瞳孔中度散大固定、眼球觸診硬如石。噁心嘔吐源於眼壓驟升刺激迷走神經，易被誤診為腸胃或神經問題。處置目標是快速降眼壓（碳酸酐酶抑制劑、高滲透壓劑、縮瞳劑 pilocarpine），並避免使用會散瞳的抗膽鹼藥物。相對地開放性青光眼是「無聲的視力小偷」，靠篩檢眼壓與視野發現。",[24,26,28,30,32],{"term":25,"count":10},"急性隅角閉鎖性青光眼",{"term":27,"count":10},"眼壓急遽升高",{"term":29,"count":10},"眼痛合併噁心嘔吐",{"term":31,"count":10},"隅角開放性青光眼(無痛)",{"term":33,"count":10},"眼科急症鑑別",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-042","有關輸注血小板的注意事項，下列敘述何者錯誤？",42,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-058","執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",58,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-medical-surgical-072","有關庫欣氏症候群的診斷檢查，下列何者最具特異性？",72,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-030","曾先生心臟衰竭住院，住院時出現臉色蒼白、冒冷汗、陣發性夜間呼吸困難及咳出大量帶有血絲的泡沫痰。請問曾先生出現那一種合併症？",30,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-medical-surgical-074","承上題，有關王先生診斷可能出現的徵象，下列何者錯誤？",74,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-028","有關心房纖維顫動病人服用 Warfarin 之護理指導，下列何者錯誤？",28,112,"2026-09-04",1788510702820]