[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-內外科護理學-006","nurse-111-1-medical-surgical-006",111,1,6,"有關頭部創傷之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"腦震盪是因外力造成暫時性的神經功能缺失，且腦組織有實質性的損傷","腦挫傷是因沒有腦組織的實質性損傷，所以受傷後常會出現腦震盪症候群","若出現鼻漏且確認是腦脊髓液，表示病人的硬腦膜受損","有鼻漏或耳漏的病人通常要儘快用抽吸管抽吸乾淨","C",null,[],"本題考點是頭部創傷各類型的定義與腦脊髓液漏的臨床意義。依解剖生理,顱底骨折若撕裂硬腦膜,腦脊髓液(CSF)可經破損處外漏,自鼻竇流出即鼻漏、自耳道流出即耳漏,因此確認鼻漏為 CSF 即代表硬腦膜受損,選 C。A 錯,腦震盪是外力造成暫時性神經功能障礙但『無』腦組織實質損傷,敘述將無損傷寫成有損傷。B 錯,腦挫傷是有『實質性』腦組織損傷,與其定義相反。D 錯,對有 CSF 鼻漏或耳漏者禁止填塞或抽吸,以免將病菌逆行帶入顱內造成腦膜炎,應保持引流通暢並觀察,故此處理方式錯誤。","鑑別 CSF 漏可用『暈輪徵(halo\u002Fring sign)』:滲液滴在紗布上,血液中心外圈出現淡黃色暈環;或測葡萄糖(CSF 含糖,鼻黏液不含)。腦震盪 vs 腦挫傷關鍵:震盪=功能性、影像常正常、可逆;挫傷=結構性出血壞死。CSF 漏的護理禁忌:不塞不沖不抽,床頭適度抬高利引流,衛教勿用力擤鼻、打噴嚏,以降低顱內感染與氣腦風險。",[24,27,29,31],{"term":25,"count":26},"顱底骨折",4,{"term":28,"count":26},"腦脊髓液漏",{"term":30,"count":10},"硬腦膜受損",{"term":32,"count":10},"腦震盪與腦挫傷鑑別",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-007","有關腦波檢查的護理措施，下列何者錯誤？",7,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-023","有關美尼爾氏症候群（Meniere’s disease）病人的護理指導，下列何者錯誤？",23,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-037","周女士，52 歲，本身有高血壓及乳癌家族史，有抽菸，在一次回診時表示自己年紀越來越大，很擔心會跟媽媽一樣罹癌，下列建議何者錯誤？",37,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",25,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-medical-surgical-029","有關第一型單純疱疹之敘述，下列何者正確？①容易再度復發 ②感染痊癒後會潛伏於神經根節 ③由水痘病毒感染後所引起的 ④多感染於會陰部",29,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-023","有關美尼爾氏症的處置，下列何者錯誤？",106,"2026-09-04",1788510734258]