[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-109-1-內外科護理學-005","nurse-109-1-medical-surgical-005",109,1,5,"指導重症肌無力病人之護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"避免過度勞累，以防誘發肌無力","應坐直立吃東西，下巴朝向胸部再行吞嚥動作","應於服用抗膽鹼酯酶藥物之後再運動","出現腹部痙攣疼痛時，可能為藥物劑量不足徵象","D",null,[],"本題考點在於重症肌無力(Myasthenia gravis)病人護理措施的正誤,尤其是膽鹼激性危象的辨識。避免過度勞累以防誘發肌無力(A)、進食採坐直姿並低頭收下巴以防吸入(B)、於服用抗膽鹼酯酶藥物藥效發揮後再活動(C)皆屬正確。而出現腹部痙攣疼痛、腹瀉、流涎、瞳孔縮小等症狀,實為抗膽鹼酯酶藥物過量所致的膽鹼激性危象徵象,並非藥物劑量不足,故 D 敘述錯誤,為答案。考點在於區辨肌無力危象(藥量不足)與膽鹼激性危象(藥量過多)的臨床表現。","重症肌無力是神經肌肉接合處乙醯膽鹼受體被自體抗體攻擊的疾病,治療用抗膽鹼酯酶藥(如 pyridostigmine)增加 ACh。兩種危象要分清:肌無力危象=藥量不足或感染壓力誘發,呼吸肌無力加劇;膽鹼激性危象=藥量過量,ACh 過多出現 SLUDGE 症狀(流涎、流淚、排尿、腹瀉腹絞痛、腸胃亢進、瞳孔縮小、肌束顫動)。腹部痙攣疼痛屬膽鹼激性(過量)徵象。Tensilon 測試可鑑別:給藥後改善為肌無力危象,惡化為膽鹼激性危象。",[24,27,30,33],{"term":25,"count":26},"重症肌無力",7,{"term":28,"count":29},"膽鹼激性危象",4,{"term":31,"count":32},"抗膽鹼酯酶藥物",3,{"term":34,"count":35},"肌無力危象",2,[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-1-medical-surgical-006","75 歲老人最近心情抑鬱，對外在環境興趣缺缺，腦部電腦斷層顯示腦組織萎縮、腦溝變大，下列何者為其最可能診斷？",6,{"webId":42,"stem":43,"number":44,"year":9,"session":35},"nurse-109-2-medical-surgical-022","有關聽力喪失可聽見的音量敘述，下列何者錯誤？",22,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-1-medical-surgical-036","下列何者不是紅血球過多症常見的併發症？",36,110,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-1-medical-surgical-074","有關糖尿病酮酸中毒（DKA）與高滲透壓高血糖狀態（HHS）之臨床處置，下列何者正確？",74,111,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-112-2-medical-surgical-038","王小姐最喜歡吃速食，餐餐吃都不膩，最近出現口炎、吞嚥困難且指甲萎縮變薄呈湯匙狀，醫師告知為貧血，王小姐最有可能罹患那一種貧血？",38,112,{"webId":61,"stem":62,"number":35,"year":63,"session":32},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",113,"2026-09-04",1788510712350]