[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-024","nurse-112-2-medical-surgical-024",112,2,24,"有關美尼爾氏症候群的症狀，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"耳鳴","眩暈","單側耳聽力減退","耳痛","D",null,[],"本題考點是美尼爾氏症（Ménière's disease）的典型三大症狀，錯誤敘述為 D。依美尼爾氏症的病生理，其成因是內耳膜性迷路的內淋巴液積水（endolymphatic hydrops），影響掌管平衡的前庭與掌管聽覺的耳蝸，典型三聯症為：眩暈（B，旋轉性、陣發性）、耳鳴（A）、以及波動性單側感音神經性聽力減退（C），常伴耳悶脹感。D「耳痛」並非美尼爾氏症的症狀，耳痛多見於中耳炎、外耳道發炎等感染性疾病，與內淋巴積水無關，故 D 敘述錯誤而為答案。","美尼爾氏症的核心是「內淋巴積水」導致內耳壓力異常，典型發作為突發旋轉性眩暈（可持續數十分鐘至數小時）合併噁心嘔吐、單側耳鳴、耳悶脹感與波動性聽力下降，早期聽損以低頻為主且可回復，反覆發作後漸成永久性。記憶三聯症口訣「暈、鳴、聾（眩暈、耳鳴、聽損）」，加耳脹感。照護與衛教：發作時臥床避免跌倒、減少頭部快速移動、低鹽飲食與利尿劑以減少內淋巴積水、避免咖啡因與菸酒。需與良性陣發性姿勢性眩暈（BPPV，位置改變誘發、無聽損耳鳴）及前庭神經炎（單次持久眩暈、無聽損）鑑別。耳痛屬感染徵象，是本題明確的排除項。",[24,27,30,32],{"term":25,"count":26},"美尼爾氏症",7,{"term":28,"count":29},"內淋巴積水",1,{"term":31,"count":29},"眩暈耳鳴聽力減退三聯症",{"term":33,"count":29},"感音神經性聽損",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-025","有關心內膜炎周邊症狀之敘述，下列何者錯誤？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-medical-surgical-041","腎衰竭病人的飲食護理指導，下列敘述何者正確？",41,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-035","下列何者不是肺氣腫病人的身體評估結果？",35,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-medical-surgical-033","有關急性呼吸衰竭之氧合與通氣的評估，下列敘述何者最適當？",33,114,{"webId":55,"stem":56,"number":26,"year":57,"session":10},"nurse-106-2-medical-surgical-007","有關叢性頭痛（cluster headaches）之敘述，下列何者錯誤？",106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-medical-surgical-041","王小姐罹患乳癌第四期，醫生建議放射線合併化學治療，此種放射線治療是屬於何種治療方式？",107,"2026-09-04",1788510747460]