[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-110-2-內外科護理學-002","nurse-110-2-medical-surgical-002",110,2,"有關 S2～S4 完全性脊髓損傷後排尿功能之敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"可藉由排尿反射排空膀胱","屬溢尿性神經性膀胱","膀胱容量很小","屬於上運動神經元神經性膀胱","B",null,[],"本題考點在於排尿反射中樞（S2–S4）受損的膀胱型態。骶髓 S2–S4 是排尿反射弧所在，完全損傷屬下運動神經元病變，膀胱逼尿肌失去反射收縮而呈弛緩，尿液滯留至過度充盈後滿溢流出，形成溢尿（滿溢性）神經性膀胱，故選 B。A 反射弧已中斷，無法藉排尿反射排空，錯誤。C 弛緩性膀胱容量反而增大而非很小，錯誤。D 損傷在下運動神經元（骶髓），非上運動神經元，錯誤。故 A、C、D 皆錯。","上運動神經元（骶髓以上）損傷＝痙攣性、反射性、小容量、自動排空；下運動神經元（骶髓 S2–4 或以下）＝弛緩性、滿溢性、大容量、尿滯留。口訣：傷在骶髓中樞 → 弛緩滿溢。連結：脊髓損傷、間歇導尿、反射弧。",[23,26,29,32],{"term":24,"count":25},"神經性膀胱",5,{"term":27,"count":28},"滿溢性尿失禁",3,{"term":30,"count":31},"下運動神經元",1,{"term":33,"count":31},"S2–S4 排尿中樞",[35,38,43,47,52,57],{"webId":36,"stem":37,"number":28,"year":9,"session":10},"nurse-110-2-medical-surgical-003","腦下垂體腫瘤（pituitary tumor）病人出現雙顳側視野及視力變差，下列何者為其腫瘤壓迫部位？",{"webId":39,"stem":40,"number":41,"year":42,"session":31},"nurse-111-1-medical-surgical-019","王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",19,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-033","有關搭飛機長程旅行後常會出現深部靜脈栓塞的主要原因，下列何者正確？",33,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-2-medical-surgical-071","有關胰島素注射之敘述，下列何者正確？",71,112,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-113-3-medical-surgical-045","有關庫欣氏症候群（Cushing’s syndrome）的臨床表徵，下列何者正確？",45,113,{"webId":58,"stem":59,"number":60,"year":61,"session":31},"nurse-115-1-medical-surgical-039","有關泌尿道檢查之敘述，下列何者正確？",39,115,"2026-09-04",1788510728796]