[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-004":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-112-2-內外科護理學-004","nurse-112-2-medical-surgical-004",112,2,4,"若右眼外旋神經受到血腫壓迫導致複視（diplopia），病人在下列那一種指示下，右眼複視最為明顯？",{"A":14,"B":15,"C":16,"D":17},"向右看","向左看","向前看","閉左眼","A",null,[],"本題考點是外旋神經（第六對腦神經，abducens nerve）支配眼球外直肌，掌管眼球「向外側」的水平運動。依外直肌的作用方向，右眼外直肌收縮時眼球才能轉向右外側；當外旋神經受血腫壓迫而麻痺，右眼便無法向右外展。複視在「患側肌肉被要求最用力工作」的注視方向最明顯，故指示病人「向右看」時右眼落後、兩眼影像分離最大，複視最嚴重，選 A。向左看（B）由左眼外直肌與右眼內直肌完成，不需右眼外直肌，複視反而減輕；向前看（C）眼球置於正中，偏移最小；閉左眼（D）僅剩單眼視覺，複視會消失。","外旋神經麻痺的典型表現是患眼內斜（esotropia）與水平複視，且往患側方向注視時最明顯，這是「diplopia worst in the field of action of the paretic muscle」原則的直接應用。可對照記憶三條動眼相關神經：第三對（動眼神經）管上、下、內直肌與下斜肌，麻痺時眼球外下偏、上眼瞼下垂、瞳孔散大；第四對（滑車神經）管上斜肌，麻痺時下樓梯或內下看出現複視、代償性頭歪；第六對（外旋神經）管外直肌，路徑最長、最易受顱內壓上升牽扯而成為假性定位徵象。單眼複視則多為屈光或水晶體問題，與腦神經無關，可用遮眼測試快速鑑別。",[24,27,29,31],{"term":25,"count":26},"外旋神經(第六對腦神經)",1,{"term":28,"count":26},"外直肌",{"term":30,"count":26},"眼球外展",{"term":32,"count":26},"複視方向原則",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-005","有關病人因腦腫瘤引起顱內壓升高的症狀與徵象，下列敘述何者錯誤？",5,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-medical-surgical-021","有關生物性心瓣膜特性的敘述，下列何者錯誤？",21,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-medical-surgical-015","有關視網膜剝離的緊急處理，下列何者錯誤？",15,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-medical-surgical-013","有關病人股骨骨折後牽引的護理措施，下列敘述何者最適當？①牽引重力應垂直懸空不可擺動 ②摩擦力愈小，牽引拉力愈大 ③應以罩單覆蓋在牽引繩上，以減少感染 ④應視病人需要，隨時調整牽引重量 ⑤牽引力應與骨頭的長軸平行",13,114,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-1-medical-surgical-067","有關甲狀腺風暴的臨床表徵，下列何者正確？",67,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-medical-surgical-021","下列何者為預防上石膏肢體肌肉力量變差之運動？",107,"2026-09-04",1788510747301]