[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-111-2-內外科護理學-007","nurse-111-2-medical-surgical-007",111,2,7,"腦腫瘤病人使用類固醇（Decadron）治療的主要目的，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"預防出血","減輕腦水腫","預防感染","抑制免疫力","B",null,[],"本題考點在腦腫瘤使用類固醇(Decadron，即dexamethasone)的主要目的。腦腫瘤周邊常因血管通透性增加而形成血管源性腦水腫，類固醇能穩定血腦障壁、降低微血管通透性，減輕腦水腫及其引起的顱內壓升高，故B正確。A錯誤，類固醇非止血藥，無預防出血作用；C錯誤，類固醇反而抑制免疫、增加感染風險，並非預防感染；D錯誤，抑制免疫力是其副作用而非治療腦腫瘤水腫的主要目的。故選B。","Dexamethasone對腫瘤周邊血管源性水腫(vasogenic edema)效果顯著，機轉為降低VEGF介導的血管通透性、穩定內皮細胞連接。長期使用須注意血糖上升、消化性潰瘍、免疫抑制與類庫欣症候群。可連結降腦壓其他手段(高滲透壓利尿劑mannitol、抬高床頭、過度換氣)比較：mannitol以滲透利尿快速降壓，類固醇則針對水腫源頭，作用較慢但持久。",[24,27,30,33],{"term":25,"count":26},"顱內壓",4,{"term":28,"count":29},"腦水腫",3,{"term":31,"count":32},"dexamethasone(Decadron)",1,{"term":34,"count":32},"血腦障壁通透性",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-medical-surgical-008","有關內視鏡椎間盤切除術的敘述，下列何者錯誤？",8,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-medical-surgical-024","有關喉癌病人接受全喉切除術的敘述，下列何者正確？",24,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-medical-surgical-038","王小姐最喜歡吃速食，餐餐吃都不膩，最近出現口炎、吞嚥困難且指甲萎縮變薄呈湯匙狀，醫師告知為貧血，王小姐最有可能罹患那一種貧血？",38,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-medical-surgical-006","有關維持口腔黏膜完整性的原則，下列敘述何者錯誤？",6,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-medical-surgical-010","因闌尾炎破裂而懷疑有腹膜炎病人之臨床表徵，下列何者正確？①觸診腹部僵硬           ②強烈的反彈痛 ③腸蠕動音增加    ④腹部叩診為實音",10,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-medical-surgical-024","有關喉癌之敘述，下列何者錯誤？",106,"2026-09-04",1788510738295]