[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"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-071","nurse-110-2-medical-surgical-071",110,2,71,"有關蝶骨切除腦下垂體腫瘤的手術後護理處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"不可用力擤鼻涕、打噴嚏、咳嗽、解便","提醒 Cortisone 類藥物，必須於飯前服用","指導手術後二個月後，切勿進行彎腰動作","若出現多尿、劇渴，表示可能血糖上升","A",null,[],"本題考點在經蝶骨腦下垂體腫瘤切除術後的護理。手術經鼻蝶竇進入,術後應避免用力擤鼻涕、打噴嚏、咳嗽與用力解便,以防顱內壓升高及腦脊髓液滲漏、傷口裂開,故選A。Cortisone類藥物應隨餐或飯後服用以減胃刺激,選項B稱飯前服用錯誤;過度限制彎腰時間並無依據且敘述不合理,選項C不適當;術後出現多尿、劇渴應警覺尿崩症(抗利尿激素不足)而非血糖上升,選項D判讀錯誤,故均非答案。","經蝶骨腦下垂體切除術(transsphenoidal hypophysectomy)術後重點:避免任何增加顱內壓與鼻腔壓力的動作(擤鼻、打噴嚏、彎腰、用力解便),觀察鼻腔滲液是否為腦脊髓液(可驗葡萄糖或halo sign),監測尿崩症(多尿、劇渴、尿比重低)與荷爾蒙缺乏。因切除腺體須補充皮質醇等荷爾蒙。記憶:多尿加劇渴加低尿比重等於尿崩症(ADH不足),非高血糖。",[24,27,30,32,35],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":29},"顱內壓",4,{"term":31,"count":10},"腦脊髓液滲漏",{"term":33,"count":34},"經蝶骨腦下垂體切除",1,{"term":36,"count":34},"術後護理",[38,42,47,52,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-medical-surgical-072","有關副甲狀腺機能亢進病人的臨床表徵，下列何者正確？①少尿 ②噁心 ③心律不整 ④骨鈣沉積",72,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-2-medical-surgical-008","有關內視鏡椎間盤切除術的敘述，下列何者錯誤？",8,111,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-112-1-medical-surgical-022","一位高度數近視的病人，主訴眼前突然出現一群浮動的黑點，而且有部分視野缺失，下列建議何者不適宜？",22,112,{"webId":53,"stem":54,"number":26,"year":55,"session":34},"nurse-113-1-medical-surgical-010","有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-medical-surgical-014","下列何者為白內障最主要的病變構造？",14,114,{"webId":62,"stem":63,"number":45,"year":64,"session":34},"nurse-106-1-medical-surgical-008","有關腦脊髓液的分析結果，下列何者正常？",106,"2026-09-04",1788510729474]