[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-內外科護理學-003","nurse-113-2-medical-surgical-003",113,2,3,"有關癲癇重積狀態（status epilepticus）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"發生時，依醫囑立即予靜脈輸入短效抗癲癇藥","小發作或局部發作不會出現癲癇重積狀態","病人一次發作時間超過 5 分鐘","可能發生意識在兩次發作間沒有完全恢復","B",null,[],"本題考點在於癲癇重積狀態(status epilepticus)的定義與處置,本題為找出錯誤敘述的反向題。任何型態的癲癇(含小發作、局部發作)只要持續過久或反覆發作而意識未恢復,皆可能演變為癲癇重積狀態,B 稱「小發作或局部發作不會出現重積」錯誤,即本題答案。A 正確:發作時應依醫囑立即靜脈給予短效抗癲癇藥(如 lorazepam、diazepam)以中止發作;C 正確:單次發作時間超過 5 分鐘即符合現行重積定義;D 正確:兩次發作之間意識未完全恢復也屬重積狀態。故選 B。","現行定義將全身強直陣攣型重積的操作時點下修至持續 5 分鐘(或反覆發作間意識未回復),因發作愈久愈難中止且腦損傷風險上升,屬神經科急症。用藥階梯:第一線 benzodiazepines(lorazepam\u002Fdiazepam),續以 phenytoin\u002Fvalproate 等。任何發作型態都可能重積,是本題破解關鍵,勿被「小發作不會重積」誤導。",[24,27,29,31],{"term":25,"count":26},"癲癇重積狀態",1,{"term":28,"count":26},"發作持續時間",{"term":30,"count":26},"benzodiazepines",{"term":32,"count":26},"神經急症",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-004","當顱內出血病人發生顱內壓升高時，顱內開始代償顱內壓的機制，下列敘述何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":11},"nurse-113-3-medical-surgical-050","有關各類型休克其病理機轉是因血管擴張引起分布性（distributive）或稱血管性（vasogenic）休克，下列何者正確？①敗血性 ②低血容積性 ③過敏性 ④神經性 ⑤心因性",50,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-2-medical-surgical-044","有關尿崩症病人之臨床表徵，下列何者錯誤？",44,114,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-106-1-medical-surgical-042","有關慢性疼痛的特徵，下列何者正確？",42,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-medical-surgical-006","病人的血壓值為 150\u002F90 mmHg，顱內壓為 15 mmHg，其腦組織灌流壓（CPP）下列何者正確？",6,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-2-medical-surgical-040","有關病毒感染與罹患癌症相關性之敘述，下列何者錯誤？",40,108,"2026-09-04",1788510754862]