[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-109-2-內外科護理學-002","nurse-109-2-medical-surgical-002",109,2,"有關頭部外傷病人經手術取出顱內血腫並於腦室內放置顱內壓監測器（ICP monitoring device）之敘述，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"顱內壓最好維持 20 mmHg 以下","腦灌流壓（CPP）不得低於 50 mmHg","可短時大量引流腦脊髓液（CSF）以快速降低顱內壓","使用 Mannitol 藥物降腦壓時，收縮壓應維持在 90 mmHg 以上","C",null,[],"本題考點是顱內壓監測與腦室引流的照護原則，須辨識錯誤者。腦脊髓液（CSF）引流必須緩慢、控制流速，「短時大量引流」會使顱內壓驟降、引發腦組織移位甚至腦疝或腦室塌陷，故C錯誤，選C。A顱內壓宜維持20 mmHg以下正確。B腦灌流壓（CPP）不得低於50 mmHg正確（CPP＝MAP−ICP）。D使用Mannitol降腦壓時須維持收縮壓90 mmHg以上以確保腦灌流，正確。故錯誤者為C。","延伸：腦室外引流（EVD）須依醫囑設定引流高度（對齊Monro孔），控制每小時CSF引流量，避免過度引流致低顱壓、硬腦膜下出血或腦疝。CPP＝MAP−ICP，一般維持60–70 mmHg，最低不宜低於50。記憶：CSF引流「慢而穩、勿過量」；CPP「維持灌流靠血壓」。可連結：EVD照護、腦疝徵象、庫欣反射（Cushing三徵）。",[23,25,27,30],{"term":24,"count":10},"腦室外引流",{"term":26,"count":10},"腦灌流壓CPP",{"term":28,"count":29},"CSF引流控制",1,{"term":31,"count":29},"腦疝風險",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-2-medical-surgical-003","有關慢性硬膜下出血（chronic subdural hematoma；chronic SDH）之敘述，下列何者正確？",3,{"webId":38,"stem":39,"number":40,"year":41,"session":29},"nurse-110-1-medical-surgical-019","下列何者為骨性關節炎的臨床表徵？",19,110,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-110-2-medical-surgical-033","評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",33,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-111-2-medical-surgical-071","有關糖尿病酮酸中毒（DKA）病人的呼吸特徵，下列何者正確？",71,111,{"webId":52,"stem":53,"number":54,"year":55,"session":36},"nurse-112-3-medical-surgical-035","病人的動脈血液氣體分析報告為 pH 7.36，PaO 2 88 mmHg，PaCO 2 50 mmHg，HCO 3- 25 mEq\u002FL，下列措施何者應為最優先？",35,112,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-114-1-medical-surgical-029","林先生因熱燒傷接受植皮手術，有關術後注意事項之敘述，下列何者正確？",29,114,"2026-09-04",1788510716265]