[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-004":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":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-111-1-內外科護理學-004","nurse-111-1-medical-surgical-004",111,1,4,"「走失」是阿茲海默氏症（Alzheimer’s Disease）病人，那一期重要臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"極早期","早期","中期","末期","C",null,[],"本題考點是阿茲海默氏症的臨床分期特徵。依疾病進程,早期以近期記憶減退、找字困難為主;中期認知與定向感明顯惡化,病人會出現時間、地點定向障礙,因而發生「走失」、遊走(wandering)與日常生活能力下降,是中期的重要臨床表徵;末期則臥床、失語、失禁、完全依賴。走失需要病人仍具行動能力卻已喪失定向感,正符合中期特徵,故選 C。A、B 極早期與早期主要是記憶輕度受損,定向感尚可,通常尚不至走失。D 末期病人多已臥床、行動嚴重受限,失去自行外出走失的能力,故非最典型時期。","分期記憶法:早期=記憶(記不住新事)、中期=定向與行為(走失、日夜顛倒、躁動、遊走)、末期=功能全失(臥床、吞嚥困難、失禁)。走失之所以落在中期,是因為它需要「還能走」加上「定向感已壞」兩個條件同時存在。臨床安全照護重點:中期防走失可用門禁、辨識手環、環境定向線索;此與譫妄(急性、波動、可逆)須鑑別。",[24,26,28,30],{"term":25,"count":10},"阿茲海默氏症分期",{"term":27,"count":10},"定向感障礙",{"term":29,"count":10},"遊走 wandering",{"term":31,"count":10},"中期臨床表徵",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-005","有關巴金森氏症病人日常生活護理指導，下列何者錯誤？",5,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-021","有關骨科手術合併症的敘述，下列何者錯誤？",21,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-035","有關瀰漫性血管內凝血的敘述，下列何者正確？①與感染有關 ②常出現凝血症狀 ③檢查時纖維蛋白原下降 ④常出現出血症狀",35,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-medical-surgical-023","李先生45歲，日前因頸部右側不對稱腫塊到醫院求診，經淋巴切片檢查診斷為何杰金氏症，下列何者不是此病常見的症狀？",23,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-medical-surgical-027","有關腫瘤溶解症候群之處置，下列何者錯誤？",27,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-021","老年人骨質疏鬆症發生骨折之部位，下列何者最不常見？",106,"2026-09-04",1788510734234]