[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-111-2-內外科護理學-004","nurse-111-2-medical-surgical-004",111,2,4,"有關誘發腦下垂體中風原因的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"導因於腫瘤壓迫於蝶鞍處，造成內部壓力上升","導因於腫瘤壓迫於腦室，造成內部壓力上升","導因於下視丘的顱內出血，造成內部壓力上升","導因於近腦下垂體血管梗塞，造成內部壓力上升","A",null,[],"本題考點在腦下垂體中風(pituitary apoplexy)的成因。腦下垂體位於蝶鞍(sella turcica)內，當腦下垂體腫瘤突然出血或梗塞、體積驟增，因蝶鞍為骨性密閉空間，內部壓力急速上升壓迫周邊結構，即為腦下垂體中風，故A正確。B錯誤，病灶在蝶鞍而非壓迫腦室；C錯誤，成因是腦下垂體本身腫瘤的出血或梗塞，非下視丘出血；D雖提及血管梗塞，但把部位定在「近腦下垂體血管」而非蝶鞍內腺體本身的壓力驟升機轉，敘述不精準，故選A最完整正確。","Pituitary apoplexy常發生於既有腦下垂體腺瘤突然出血或梗塞，典型表現為突發劇烈頭痛、視力視野缺損(壓迫視交叉)、眼肌麻痺與急性泛腦下垂體功能低下(尤其ACTH不足致腎上腺危象)。蝶鞍的骨性侷限使小量出血即造成壓迫。可連結視交叉受壓的雙顳側偏盲(bitemporal hemianopia)延伸複習。",[24,26,28,31],{"term":25,"count":10},"腦下垂體中風",{"term":27,"count":10},"腦下垂體腫瘤",{"term":29,"count":30},"蝶鞍 sella turcica",1,{"term":32,"count":30},"顱內壓迫",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-005","有關身體單側忽略病人的護理措施，下列何者正確？①經常變動房間物品擺設，以增加對周圍環境關注 ②教導病人用轉頭方式，來代償視野缺損 ③鼓勵病人注意及照顧自己患側 ④叫人鈴及電話放在患側，以增加對患側環境關注",5,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-112-1-medical-surgical-021","白內障可能出現的症狀，下列何者正確？① 眼睛痛 ②眼睛紅 ③視力模糊 ④瞳孔變灰或白色",21,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-035","王先生，67 歲，體重 90 公斤，BMI：30 kg\u002Fm 2 ，平時菸酒不離手且愛吃醃漬食品，下列護理措施何者不適宜？",35,{"webId":48,"stem":49,"number":50,"year":51,"session":50},"nurse-113-3-medical-surgical-003","墨菲氏徵象（Murphy’s sign）陽性是下列何種疾病的常見特徵？",3,113,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-115-1-medical-surgical-007","有關口服膽囊攝影檢查（oral cholecystography）的敘述，下列何者正確？",7,115,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-2-medical-surgical-021","有關白內障症狀之敘述，下列何者錯誤？",106,"2026-09-04",1788510738277]