[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-001":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-108-1-內外科護理學-001","nurse-108-1-medical-surgical-001",108,1,"有關測量病人昏迷量表（Glasgow Coma Scale, GCS）之敘述，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"低於 7 分表示昏迷狀態","運動反應是以病人最差的反應作為紀錄","語言反應時，有插氣管內管者用“E”表示","張眼反應時，因顏面受傷造成眼部水腫以致無法張開眼睛時用“C”表示","B",null,[],"本題考點是格拉斯哥昏迷指數（GCS）的評估原則，要選「錯誤」者。依 GCS 評分規則，運動反應應以病人所能做出的「最佳」反應計分，才能真實反映其神經功能上限，故稱以「最差反應」紀錄的 B 為錯誤。A 正確——總分低（一般以 ≤8 或低於 7 分）表示昏迷狀態。C 正確——語言反應若病人插有氣管內管無法發聲，會以英文字母（如 E／T）標註而非計為 0 導致低估。D 正確——張眼反應時若因顏面外傷、眼部水腫無法睜眼，以「C」（closed）標註說明無法評估的原因。判斷關鍵在於「GCS 一律取最佳反應」，此為避免低估病情的核心原則。","GCS 三項：睜眼（E，1–4）、語言（V，1–5）、運動（M，1–6），總分 3–15，取『各項最佳反應』相加。運動反應尤其必須取最佳，因病情惡化時最佳反應會先下降，最能敏感反映變化。無法評估時以字母註記（插管 T、眼腫 C）以保留資訊、避免誤判為零分。可連結瞳孔反射、意識評估與顱內壓監測一併複習。",[23,26,28,30],{"term":24,"count":25},"意識評估",3,{"term":27,"count":10},"格拉斯哥昏迷指數",{"term":29,"count":10},"GCS",{"term":31,"count":10},"最佳運動反應",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-medical-surgical-002","有關正子電腦斷層攝影術（Positron Emission Tomography, PET）的敘述，下列何者正確？",2,{"webId":38,"stem":39,"number":40,"year":9,"session":36},"nurse-108-2-medical-surgical-018","有關中耳手術後病人護理措施及指導之敘述，下列何者錯誤？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-109-1-medical-surgical-032","有關惡性腫瘤特徵的敘述，下列何者正確？①細胞通常分化不良 ②腫瘤通常有被膜包覆 ③生長速度通常很迅速 ④易轉移易復發",32,109,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-1-medical-surgical-070","有關糖尿病病人產生腎臟病變之敘述，下列何者正確？",70,110,{"webId":52,"stem":53,"number":54,"year":55,"session":36},"nurse-111-2-medical-surgical-034","奇脈（paradoxical pulse）是指下列何種情況？",34,111,{"webId":57,"stem":58,"number":59,"year":60,"session":36},"nurse-112-2-medical-surgical-068","有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",68,112,"2026-09-04",1788510709455]