[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-2-內外科護理學-005","nurse-112-2-medical-surgical-005",112,2,5,"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？",{"A":14,"B":15,"C":16,"D":17},"血壓下降","視力模糊或出現視乳突水腫","頭痛或出現嘔吐","心跳變慢","A",null,[],"本題考點是顱內壓升高的代償反應——庫欣氏三徵（Cushing's triad），錯誤敘述為 A。依庫欣氏反射機轉，當顱內壓升高壓迫腦幹血流，身體為維持腦部灌流會反射性升高全身血壓，故典型表現是「血壓上升且脈壓變寬」，而非血壓下降，A 敘述錯誤故選之。B 視神經乳突水腫（papilledema）是顱內壓長期升高壓迫視神經的客觀徵象，正確；C 頭痛與噴射狀嘔吐源自腦膜牽扯與嘔吐中樞受刺激，正確；D 心跳變慢（心搏過緩）是庫欣氏三徵之一，由血壓升高引發壓力受器反射，正確。","庫欣氏三徵完整內容為：血壓升高（收縮壓上升、脈壓增寬）、心搏過緩、呼吸型態不規則（如 Cheyne-Stokes 呼吸），是顱內壓危象的晚期警訊，代表腦幹已受壓、瀕臨腦疝脫。記憶口訣可用「高壓、慢跳、亂呼吸」對比一般休克的「低血壓、心跳快」，兩者方向相反，是考試最愛設陷阱處。臨床上顱內壓正常值約 5–15 mmHg，超過 20 mmHg 需處置。理解關鍵在於腦部被固定於顱骨內（Monro-Kellie 學說），腦組織、血液、腦脊髓液三者總體積固定，任一增加必以升高血壓來搶救灌流壓（CPP＝MAP－ICP）。",[24,27,30,32],{"term":25,"count":26},"顱內壓升高",11,{"term":28,"count":29},"庫欣氏三徵",1,{"term":31,"count":29},"腦灌流壓",{"term":33,"count":29},"視神經乳突水腫",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-006","張先生因高處跌下導致脊髓損傷住院，護理師可經由下列何種反射出現，而知張先生已渡過脊髓休克期？",6,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-022","有關冠狀動脈繞道手術後護理，下列敘述何者錯誤？",22,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-016","有關感染性心內膜炎臨床表徵之敘述，下列何者錯誤？",16,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-medical-surgical-014","有關美尼爾氏症（Ménière’s disease），下列敘述何者最不適當？",14,114,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-106-1-medical-surgical-068","有關結腸癌之敘述，下列何者錯誤？",68,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-medical-surgical-022","有關青光眼藥物作用的敘述，下列何者正確？",107,"2026-09-04",1788510747305]