[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-110-2-內外科護理學-008","nurse-110-2-medical-surgical-008",110,2,8,"有關顱內壓升高（IICP）的護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"搖高床頭 30 度以促進靜脈血液回流","運用 Valsalva’s maneuver 以促進排便","鼓勵大量喝水以改善循環","垂頭仰臥以增加腦部循環","A",null,[],"本題考點在於顱內壓升高（IICP）的照護原則——促進腦部靜脈回流、避免顱內壓再升高。抬高床頭約 30 度並維持頭頸中立，可促進靜脈血由頭部回流、降低顱內壓，故 A 正確。B Valsalva 動作（閉氣用力）會升高胸腔內壓阻礙靜脈回流，使顱內壓上升，須避免，錯誤。C 大量喝水增加血容與腦水腫風險，與限水原則相反，錯誤。D 垂頭仰臥使頭部低於心臟、靜脈回流受阻，反而升高顱內壓，錯誤。故 B、C、D 皆有害。","降 IICP 原則：床頭 30°、頭頸正中不扭轉、避免 Valsalva／咳嗽／等長運動、限水、必要時過度換氣或滲透性利尿（mannitol）。口訣：頭高、頸直、勿憋氣。連結：腦灌流壓 CPP = MAP − ICP、腦疝、mannitol。",[24,27,30,33],{"term":25,"count":26},"顱內壓升高",11,{"term":28,"count":29},"Valsalva 動作",3,{"term":31,"count":32},"床頭抬高 30 度",1,{"term":34,"count":32},"靜脈回流",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-009","下列何項指標可以用在術前診斷大腸癌及術後追蹤癌症是否復發？",9,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-medical-surgical-025","有關聽力喪失病人的護理指導，下列何者錯誤？",25,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-medical-surgical-039","有關補充鐵劑的敘述，下列何者正確？",39,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-112-2-medical-surgical-077","有關敗血症第一小時組合照護（hour-1 bundle）之敘述，下列何者正確？①應快給與抗生素使用，但須先做血液培養 ②施打 1 種或多種廣效抗生素療程約 7～10 天 ③病人低血壓或血清乳酸值大於 2 mmol\u002FL，應儘快輸液以 40 mL\u002Fkg 量輸注 ④病人低血壓在輸液後維持平均動脈壓至少大於或等於 60 mmHg",77,112,{"webId":55,"stem":56,"number":32,"year":57,"session":32},"nurse-114-1-medical-surgical-001","有關巴金森氏症病人服用抗膽鹼激性製劑trihexyphenudyl（Artane ®）之敘述，下列何者正確？",114,{"webId":59,"stem":60,"number":61,"year":62,"session":32},"nurse-115-1-medical-surgical-045","劉女士因血糖控制不佳入院，下列病人平日之飲食攝取比例，何者不適宜？①碳水化合物類的食物約占每日總熱量的50～60％    ②脂肪類的食物約占每日總熱量的5～10％     ③飽和脂肪類的食物小於7％    ④蛋白質類的食物約占每日總熱量的30～35％",45,115,"2026-09-04",1788510728835]