[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-112-3-內外科護理學-014","nurse-112-3-medical-surgical-014",112,3,14,"下列何者是視網膜剝離最主要的疾病機轉？",{"A":14,"B":15,"C":16,"D":17},"視網膜喪失營養供應","水晶體混濁","眼內壓上升","眼角膜受損","A",null,[],"本題考點在於視網膜剝離的疾病機轉。依視網膜剝離的病生理，視網膜的神經感覺層與其下的色素上皮層分離，使感光細胞喪失來自脈絡膜的血液營養與氧氣供應，導致視覺功能受損，故最主要機轉為視網膜喪失營養供應，選 A。判斷關鍵是「感覺層與色素上皮分離、中斷營養」。B 水晶體混濁是白內障的機轉。C 眼內壓上升是青光眼的機轉。D 眼角膜受損屬角膜病變。三者皆為其他眼疾機轉，與視網膜剝離的分層脫離不同。","視網膜剝離最常見為裂孔性（rhegmatogenous）：視網膜出現裂孔，液化的玻璃體滲入神經感覺層與色素上皮層之間使其分離。分離後感光細胞失去脈絡膜供應的養分與氧氣，若不儘速復位將造成不可逆的視力喪失。典型症狀為飛蚊、閃光感，及如「窗簾」般由周邊向中央擴展的視野缺損。屬眼科急症，須儘速就醫接受雷射或手術復位。",[24,27,30,32],{"term":25,"count":26},"視網膜剝離",6,{"term":28,"count":29},"神經感覺層與色素上皮分離",1,{"term":31,"count":29},"脈絡膜供應",{"term":33,"count":29},"裂孔性剝離",[35,39,45,50,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-medical-surgical-015","有關美尼爾氏症（Meniere’s syndrome）之敘述，下列何者正確？①內耳淋巴水腫引起 ②眩暈及耳朵疼痛是典型症狀 ③可能導致單側傳導性聽力喪失 ④耳鳴是典型症狀",15,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-medical-surgical-011","有關骨髓炎之護理指導，下列敘述何者錯誤？",11,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-114-1-medical-surgical-005","有關左側大腦損傷可能引起的功能缺失症狀，下列敘述何者正確？①計算能力降低           ②空間缺損 ③半側忽略   ④語言障礙",5,114,{"webId":51,"stem":52,"number":10,"year":53,"session":44},"nurse-115-2-medical-surgical-003","有關成人腦室外引流系統裝置的護理措施，下列敘述何者錯誤？",115,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-106-2-medical-surgical-077","針對心臟衰竭病人的評估結果，下列何者最需要護理師密切觀察？",77,106,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-1-medical-surgical-031","主要症狀為腹水、下肢水腫及肝脾腫大之瓣膜性心臟病病人，其最可能的瓣膜問題為下列何者？",31,108,"2026-09-04",1788510744884]