[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-022":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":26},"nurse-112-1-內外科護理學-022","nurse-112-1-medical-surgical-022",112,1,22,"一位高度數近視的病人，主訴眼前突然出現一群浮動的黑點，而且有部分視野缺失，下列建議何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"立刻臥床","避免用力","雙眼覆蓋眼罩","立即冰敷","D",null,[],"本題考點在於視網膜剝離的緊急處置。依病生理,高度近視者突發大量飛蚊與部分視野缺失,高度懷疑視網膜剝離,原則是限制活動、避免眼壓與震動使裂孔擴大,故立刻臥床、避免用力、雙眼覆蓋眼罩以減少眼球轉動皆屬適宜。不適宜的是D立即冰敷,冰敷對視網膜復位無實質幫助,亦非處置重點,故答案為D。此情況須儘速就醫接受眼底檢查與手術評估。","視網膜剝離典型症狀:飛蚊突增、閃光感(photopsia)、如簾幕遮擋的視野缺損,無痛。高度近視、眼外傷、糖尿病視網膜病變為高風險。急救原則是減少眼球活動(雙眼包紮、臥床限制頭部轉動)以防裂孔擴大,並儘速手術(鞏膜扣壓、玻璃體切除或氣體填充)。冰敷用於挫傷止血,對剝離無效。",[24,27,29,31],{"term":25,"count":26},"視網膜剝離",6,{"term":28,"count":10},"高度近視風險",{"term":30,"count":10},"飛蚊與視野缺損",{"term":32,"count":10},"限制活動保護眼球",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-medical-surgical-023","有關鼻部手術後的護理指導，下列何者最不適宜？",23,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-2-medical-surgical-039","有關化學藥物 cyclophosphamide（Cytoxan）的副作用或毒性，不包括下列何者？",39,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-1-medical-surgical-003","有關頭部外傷病人顱內壓升高的處置，下列何者錯誤？",3,113,{"webId":49,"stem":50,"number":10,"year":51,"session":42},"nurse-114-2-medical-surgical-001","有關巴金森氏症（Parkinson’s disease）的主要典型症狀，下列敘述何者正確？①震顫 ②吞嚥困難 ③僵硬 ④運動遲緩 ⑤腹瀉",114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,106,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-107-1-medical-surgical-039","下列何種細胞的分裂速度最慢？",107,"2026-09-04",1788510741886]