[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":59},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-111-2-內外科護理學-002","nurse-111-2-medical-surgical-002",111,2,"有關脊髓損傷後脊髓休克期照護的敘述，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"肛門反射出現表示脊髓休克期已結束","可以插鼻胃管引流胃液減壓","可使用高劑量類固醇治療以減輕脊髓水腫","經電腦斷層攝影可確診為完全或不完全脊髓損傷","D",null,[],"本題考點在脊髓損傷後脊髓休克期的照護，要選錯誤者。D錯誤：脊髓休克期因反射全消失、神經功能暫時抑制，此時無法判定損傷是完全或不完全，須待休克期結束後才能評估，且電腦斷層主要看骨骼結構、對脊髓實質評估有限，確診完全或不完全損傷不能單靠此期的CT，故D為答案。A正確，肛門反射(球海綿體反射)恢復代表脊髓休克期結束；B正確，可插鼻胃管減壓以防麻痺性腸阻塞與腹脹；C正確，急性期可用高劑量類固醇減輕脊髓水腫。","脊髓休克(spinal shock)是損傷後暫時性、平面以下所有反射與運動感覺喪失，可持續數天至數週，其結束以反射(如球海綿體反射、肛門反射)重現為指標。須與神經性休克(neurogenic shock，交感中斷致低血壓合併心搏過緩)區分。損傷完全性判定用ASIA分級，影像確診脊髓實質以MRI優於CT。",[23,26,28,30],{"term":24,"count":25},"脊髓休克期",1,{"term":27,"count":25},"球海綿體\u002F肛門反射",{"term":29,"count":25},"ASIA分級",{"term":31,"count":25},"MRI vs CT",[33,37,42,46,50,55],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-2-medical-surgical-003","有關椎間盤突出手術治療的敘述，下列何者正確？",3,{"webId":38,"stem":39,"number":40,"year":41,"session":25},"nurse-112-1-medical-surgical-019","有關腕隧道症候群病人之身體檢查評估結果，下列何者正確？",19,112,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-112-2-medical-surgical-033","有關急性移植物對抗宿主疾病（Graft-versus-host-Disease, GVHD）之敘述，下列何者正確？",33,{"webId":47,"stem":48,"number":25,"year":49,"session":36},"nurse-113-3-medical-surgical-001","下列診斷檢查敘述何者錯誤？",113,{"webId":51,"stem":52,"number":53,"year":54,"session":25},"nurse-115-1-medical-surgical-005","病人跌倒造成腦部枕葉受損時出現的症狀，下列何者正確？",5,115,{"webId":56,"stem":57,"number":40,"year":58,"session":10},"nurse-106-2-medical-surgical-019","有關痛風性關節炎急性期病人之護理指導，下列何者正確？",106,"2026-09-04",1788510738269]