[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-005":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-112-1-內外科護理學-005","nurse-112-1-medical-surgical-005",112,1,5,"有關顱內壓升高的藥物治療，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"類固醇治療可用於腦瘤引起的血管性腦水腫","Mannitol 滲透性利尿劑若出現反彈現象會使腦水腫更嚴重","巴比妥酸鹽可降低腦組織代謝及使得血流均勻供應腦部","顱內壓升高病人皆須給與抗痙攣藥物以預防抽搐發作","D",null,[],"本題考點在於顱內壓（ICP）升高的藥物治療原則。依臨床用藥，抗痙攣藥並非所有顱內壓升高病人都須常規給予，僅在有癲癇發作風險或病灶（如腦傷、腦瘤）具明確指徵時使用，故錯誤敘述為 D「皆須給與抗痙攣藥物」，選 D。A 正確，類固醇可減輕腦瘤周邊的血管性腦水腫；B 正確，Mannitol 為滲透性利尿劑，若出現反彈現象水分回滲反使腦水腫加重；C 正確，巴比妥酸鹽能降低腦組織代謝需求並使腦血流分布較均勻。唯 D 以「皆須」作絕對化陳述，違反用藥個別化原則。","降 ICP 策略含：抬高床頭 30 度、過度換氣（降 PaCO₂ 使腦血管收縮）、滲透性利尿（Mannitol、高張食鹽水）、類固醇（對血管性水腫有效，對細胞毒性水腫效果有限）、巴比妥昏迷降代謝。抗痙攣藥屬選擇性預防。記憶要點：看到「皆須／一律／全部」等絕對字眼常為陷阱，臨床用藥講求個別評估。",[24,27,29,31],{"term":25,"count":26},"顱內壓升高",11,{"term":28,"count":10},"Mannitol 反彈現象",{"term":30,"count":10},"類固醇與腦水腫",{"term":32,"count":10},"抗痙攣藥適應症",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-006","有關巴金森氏症病人的日常活動指導，下列敘述何者錯誤？",6,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-2-medical-surgical-022","有關鼻咽癌病人接受放射線治療之護理指導，下列何者錯誤？",22,2,{"webId":44,"stem":45,"number":46,"year":9,"session":47},"nurse-112-3-medical-surgical-036","有關執行氣切造口術病人抽痰的敘述，下列何者不適當？",36,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-medical-surgical-034","下列何者不屬於動脈血液氣體分析（arterial blood gas analysis）可以直接偵測之項目？",34,114,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-115-2-medical-surgical-038","有關良性前列腺肥大的敘述，下列何者正確？",38,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-1-medical-surgical-022","有關使用音叉評估聽力喪失之敘述，下列何者錯誤？",107,"2026-09-04",1788510741725]