[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-109-1-內外科護理學-014","nurse-109-1-medical-surgical-014",109,1,14,"有關腦脊髓液的檢查，下列何者異常？",{"A":14,"B":15,"C":16,"D":17},"外觀清澈","葡萄糖的值為血糖值的 20～30 %","蛋白質為 15～45 mg\u002FdL","側躺時壓力為 70～180 mmH 2 O","B",null,[],"本題考點在於腦脊髓液（CSF）正常檢驗值的辨識。CSF葡萄糖正常值約為血糖的60～70%（約50～80 mg\u002FdL），選項B所述「20～30%」明顯偏低，屬異常（低糖常見於細菌性腦膜炎，因細菌與發炎細胞消耗葡萄糖），故B為本題要選的異常項。選項A外觀清澈為正常，混濁才提示感染；選項C蛋白質15～45 mg\u002FdL為正常範圍，升高見於感染或出血；選項D側臥腰椎穿刺壓力70～180 mmH₂O屬正常，升高提示顱內壓上升。三者皆為正常描述，唯B的糖值比例錯誤，故答案為B。","CSF分析判讀口訣：細菌性腦膜炎「糖低、蛋白高、混濁、多核球」；病毒性則「糖正常、蛋白略高、淋巴球為主」。CSF糖來自血糖擴散，正常約為血糖2\u002F3，故臨床判讀低糖須同時抽血對照血糖比值（CSF\u002F血糖\u003C0.4為異常）。壓力測量須側臥放鬆，坐姿或哭鬧會假性升高。",[24,26,28,30],{"term":25,"count":10},"腦脊髓液正常值",{"term":27,"count":10},"CSF葡萄糖為血糖60-70%",{"term":29,"count":10},"細菌性腦膜炎低糖",{"term":31,"count":10},"腰椎穿刺壓力",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-015","肝穿刺切片檢查時，為避免橫膈穿孔與肝臟撕裂傷，教導病人當針頭插入肝臟時應採取的動作，下列何者正確？",15,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-031","有關心絞痛之常用藥物 Nitroglycerine（NTG）之護理指導，下列何者錯誤？",31,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-045","有關化學物質燒傷導致皮下組織損傷的處置，下列何者錯誤？",45,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-003","有關椎間盤突出手術治療的敘述，下列何者正確？",3,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-047","下列何者屬於主動性後天免疫？",47,112,{"webId":58,"stem":59,"number":60,"year":61,"session":50},"nurse-113-3-medical-surgical-011","60 歲女性病人主訴清晨會出現左側膝關節僵硬，熱敷後僵硬可以改善，且上下樓梯時關節會有輾軋音。下列何者為病人最可能的疾病診斷？",11,113,"2026-09-04",1788510712416]