[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-002":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":11},"nurse-112-3-內外科護理學-002","nurse-112-3-medical-surgical-002",112,3,2,"有關癲癇病人發作時的護理措施，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人若是在床上，可先移開頭部枕頭","確認周邊氧氣及抽吸設備功能","發作時意識不清，須隨時叫醒病人","發作時，可讓病人側臥以利唾液流出","C",null,[],"本題考點在於癲癇發作當下的安全護理措施。本題為反向題，錯誤敘述為 C：發作時病人意識不清屬正常發作過程，不應強行搖晃叫醒或搬動，護理重點是維持呼吸道通暢與防止受傷，等待發作自行結束，故選 C。判斷關鍵是「發作中不強行喚醒或約束」。A 移開枕頭等硬物以防碰撞受傷，正確。B 確認氧氣與抽吸設備功能以備發作後維持呼吸道，正確。D 讓病人側臥使唾液與分泌物流出、避免吸入，是防止吸入性肺炎的標準姿勢，正確。","癲癇發作護理三原則：保護（移開危險物、勿強壓肢體、勿塞物入口）、維持呼吸道（頭側或側臥引流分泌物、備妥抽吸與氧氣）、觀察記錄（發作型態、持續時間、有無失禁與發紺）。發作後病人常進入意識模糊的「發作後期」，此時給予安靜環境休息即可，不宜強行喚醒。若單次發作超過 5 分鐘或反覆發作未清醒，即為癲癇重積狀態，須緊急處置。",[24,26,28,31],{"term":25,"count":11},"癲癇發作護理",{"term":27,"count":11},"呼吸道維持",{"term":29,"count":30},"側臥姿勢",1,{"term":32,"count":30},"發作後期",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":10,"year":9,"session":10},"nurse-112-3-medical-surgical-003","額葉腦瘤病人，最可能出現下列何項臨床表徵？",{"webId":38,"stem":39,"number":40,"year":41,"session":30},"nurse-113-1-medical-surgical-049","有關自動體外電擊去顫器（AED）操作，下列敘述何者錯誤？",49,113,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-113-3-medical-surgical-043","有關尿崩症病人的出院護理指導，下列何者錯誤？",43,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-1-medical-surgical-041","趙小姐，45歲，無特殊疾病，近來健檢時發現有輸尿管結石約1.8公分，醫師建議行輸尿管鏡碎石術，下列敘述何者錯誤？",41,115,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-106-2-medical-surgical-065","有關甲狀腺機能亢進病人服用碘製劑之注意事項，下列何者正確？",65,106,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-108-1-medical-surgical-019","有關腔症候群的評估與處置，下列何者錯誤？",19,108,"2026-09-04",1788510744780]