[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-1-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-110-1-內外科護理學-001","nurse-110-1-medical-surgical-001",110,1,"有關重積性癲癇的敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"最常見的原因是強光刺激，死亡率約 5～20%","定義是指持續發作 60 分鐘以上或 2 次發作之間意識沒有恢復","確認病人安全後，應立即建立呼吸道通暢並給予氧氣為最優先的措施","病人抽搐時，要按壓病人並試圖喚醒病人","C",null,[],"本題考點為重積性癲癇(status epilepticus)的定義、成因與處置優先順序。依急救 ABC 原則,病人持續抽搐時最大威脅是缺氧,確認安全後首要維持呼吸道通暢並給氧,故選 C。選項 A 錯在成因,最常見原因是突然停用抗癲癇藥或血中濃度不足,並非強光刺激;選項 B 錯在定義,一般為單次發作持續 30 分鐘以上(近年更以 5 分鐘為介入門檻)或兩次發作間意識未恢復,而非 60 分鐘;選項 D 錯在處置,抽搐時不可強行按壓或搖醒病人以免二次傷害,應移除危險物、保護頭部並側臥防吸入。","重積性癲癇的照護核心是氣道與時間:抽搐時腦部持續放電耗氧,呼吸肌不協調易缺氧,故 ABC 中 airway 優先。藥物上以靜脈注射 benzodiazepine(如 lorazepam、diazepam)為第一線止痙。定義門檻由早年 30 分鐘下修到 5 分鐘,是因愈久神經元損傷愈不可逆,故現場不必等滿 30 分鐘才處置。",[23,26,28,30],{"term":24,"count":25},"重積性癲癇",2,{"term":27,"count":10},"呼吸道通暢優先",{"term":29,"count":10},"ABC 急救原則",{"term":31,"count":10},"抗癲癇藥停用",[33,36,40,45,50,55],{"webId":34,"stem":35,"number":25,"year":9,"session":10},"nurse-110-1-medical-surgical-002","多發性硬化症（multiple sclerosis; MS）使用 Cyclophosphamide 藥物治療之最主要目的，下列何者正確？",{"webId":37,"stem":38,"number":39,"year":9,"session":25},"nurse-110-2-medical-surgical-018","有關腔隙症候群的處置，下列何者正確？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-1-medical-surgical-032","下列血流動力學檢查結果何者正常？",32,111,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-medical-surgical-070","陳小姐因甲狀腺機能亢進，接受抗甲狀腺藥物硫醯胺類（thioamides）與碘製劑（iodine）治療，有關其藥物治療之敘述，下列何者正確？",70,112,{"webId":51,"stem":52,"number":53,"year":54,"session":25},"nurse-113-2-medical-surgical-014","有關美尼爾氏症（Meniere’s disease）之護理指導，下列敘述何者錯誤？",14,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-medical-surgical-008","有關口腔癌病人接受根除性頸部淋巴廓清術後之照護，下列敘述何者最不適當？",8,114,3,"2026-09-04",1788510720728]