[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-015","nurse-112-3-medical-surgical-015",112,3,15,"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",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於美尼爾氏症的病因與典型症狀組合。依其病生理，美尼爾氏症由內耳膜性迷路的內淋巴水腫（積水）所引起（敘述①正確），典型症狀包括眩暈、耳鳴、耳脹感與波動性的感覺神經性聽力喪失，其中耳鳴為典型症狀（敘述④正確），故選 B。判斷關鍵是「內淋巴水腫」與「耳鳴」。敘述②錯誤，典型是眩暈與耳鳴，並非「耳朵疼痛」。敘述③錯誤，其聽力喪失屬感覺神經性而非傳導性。","美尼爾氏症四大典型症狀可記為「暈、鳴、脹、聾」：發作性旋轉性眩暈、耳鳴、耳悶脹感與波動進行性的感覺神經性聽力喪失。病因為內淋巴液產生與吸收失衡造成內淋巴水腫。急性發作期護理著重臥床、防跌、減少頭部快速轉動與噁心嘔吐照護；長期則採低鈉飲食、限制咖啡因與利尿劑以減少內淋巴積水。與傳導性聽損（外耳中耳問題）須明確區辨。",[24,27,30,32],{"term":25,"count":26},"美尼爾氏症",7,{"term":28,"count":29},"內淋巴水腫",6,{"term":31,"count":10},"感覺神經性聽力喪失",{"term":33,"count":34},"耳鳴與眩暈",1,[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-medical-surgical-016","有關全喉切除術後的護理指導，下列敘述何者正確？",16,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-medical-surgical-012","有關腔隙症候群的症狀，下列敘述何者錯誤？①失去尖鈍或兩點辨識力 ②患肢末梢脈搏減弱 ③微血管充填時間大於 3 秒 ④皮膚上出現出血斑點",12,113,2,{"webId":47,"stem":48,"number":29,"year":49,"session":34},"nurse-114-1-medical-surgical-006","有關胃食道逆流症的護理指導，下列敘述何者錯誤？",114,{"webId":51,"stem":52,"number":53,"year":54,"session":45},"nurse-115-2-medical-surgical-004","有關以格拉斯哥昏迷量表（GCS）測量病人意識程度變化之敘述，下列何者正確？",4,115,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-106-2-medical-surgical-078","有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",78,106,{"webId":61,"stem":62,"number":63,"year":64,"session":34},"nurse-108-1-medical-surgical-032","有關高血壓病人的護理指導，下列何者最不適當？",32,108,"2026-09-04",1788510744897]