[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-1-內外科護理學-068","nurse-111-1-medical-surgical-068",111,1,68,"有關經尿道前列腺切除術的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"透過電刀切除前列腺，是良性前列腺肥大第一線最常用的治療方式","若手術過程吸收過多沖洗液，容易引起腦水腫需注意病人意識狀態","出血是最常見的合併症，術後需要持續用生理食鹽水做膀胱灌洗","若尿道內括約肌有受損，可能導致性行為高潮時出現逆行性射精","A",null,[],"本題考點在於經尿道攝護腺切除術(TURP)的適應症與併發症。依良性攝護腺肥大的治療階梯,第一線多先採藥物治療(如 α 阻斷劑、5α 還原酶抑制劑),TURP 屬藥物無效或症狀嚴重時的手術選擇,並非「第一線最常用」,故 A 敘述錯誤,為本題答案。B 手術中若吸收過多低張沖洗液,可致水中毒與低血鈉引發腦水腫、意識改變(即 TURP 症候群),須觀察意識,正確。C 出血是最常見併發症,術後以生理食鹽水持續膀胱灌洗防血塊阻塞,正確。D 尿道內括約肌受損可導致逆行性射精,正確。","TURP 症候群機轉:電切時使用低張沖洗液,經開放血管竇大量吸收造成稀釋性低血鈉與循環過量,表現為意識混亂、噁心、心搏過緩,故術中改用等張沖洗與監測血鈉很重要。逆行性射精是因膀胱頸\u002F內括約肌受損,射精時精液逆流入膀胱,屬常見且通常不影響健康。術後三腔導尿管持續膀胱灌洗以稀釋血塊、維持引流通暢。台灣護理用語用「攝護腺」。",[24,27,30,32,34],{"term":25,"count":26},"良性攝護腺肥大",4,{"term":28,"count":29},"經尿道攝護腺切除術",2,{"term":31,"count":29},"逆行性射精",{"term":33,"count":10},"TURP 症候群",{"term":35,"count":10},"膀胱灌洗",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-069","有關黏液水腫昏迷之檢查結果，下列何者錯誤？",69,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",5,112,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-112-2-medical-surgical-019","承上題，下列何者為病人最適當的處置？",19,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-medical-surgical-037","有關良性前列腺肥大症狀與導因之敘述，下列何者正確？",37,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-medical-surgical-041","有關中樞性尿崩症，下列敘述何者最適當？",41,114,3,{"webId":62,"stem":63,"number":44,"year":64,"session":29},"nurse-106-2-medical-surgical-005","有關巴金森氏症病人服用 levodopa 藥物之護理指導，下列何者正確？①補充維生素 B 6 以促進藥物吸收 ②補充高蛋白飲食以增加藥物效果 ③可能會出現舞蹈症或不自主運動 ④長期使用會出現 on-off 反應",106,"2026-09-04",1788510734807]