[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-001":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":26},"nurse-113-3-內外科護理學-001","nurse-113-3-medical-surgical-001",113,3,1,"下列診斷檢查敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"腰椎穿刺將針頭插入 L3～L4 之蜘蛛膜下腔","腰椎穿刺後需要臥床休息，加強水分攝取","腦波檢查前病人需要洗頭並且不可以擦髮油","經股動脈進行腦血管攝影後，可立即下床活動，避免下肢血栓形成","D",null,[],"本題考點在於神經系統診斷檢查的護理常規,要求選出錯誤敘述。依腦血管攝影術後護理,經股動脈穿刺後須平躺、穿刺側肢體伸直並加壓固定數小時,以防出血與血腫,不可立即下床活動,故 D 敘述錯誤為正解。A 正確,腰椎穿刺在 L3～L4(脊髓終於 L1～L2)蜘蛛膜下腔進針最安全;B 正確,穿刺後平躺並多補充水分,以減少腦脊髓液滲漏引起的姿勢性頭痛;C 正確,腦波檢查前須洗頭去除油脂與髮油,確保電極導電良好。本題屬檢查護理辨識題。","股動脈穿刺後的重點在止血:動脈壓力高,過早活動易致穿刺處滲血、假性動脈瘤。與靜脈血栓的預防(早期活動)恰好相反,勿混淆。腰椎穿刺後低顱壓頭痛機轉:CSF 滲漏使腦組織下墜牽扯痛覺敏感結構,平躺與補水促其回填。記憶:攝影術後「壓、平、觀」(加壓、平躺、觀察遠端脈搏與出血)。",[24,27,29,31],{"term":25,"count":26},"腦血管攝影術後護理",2,{"term":28,"count":11},"股動脈穿刺止血",{"term":30,"count":11},"腰椎穿刺",{"term":32,"count":11},"低顱壓頭痛",[34,37,42,46,51,56],{"webId":35,"stem":36,"number":26,"year":9,"session":10},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-114-1-medical-surgical-048","72歲男性，有心臟病病史，夏天逛露天賣場時不明原因昏倒，臉色潮紅，皮膚乾熱，呼吸24次／分，脈搏強而快，體溫41.5℃，下列何者為其最可能診斷？",48,114,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-114-3-medical-surgical-042","有關副甲狀腺功能低下病人之處置，下列敘述何者最不適當？",42,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-106-2-medical-surgical-010","有關肛門瘻管手術治療後之合併症，下列何者最少見？",10,106,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-107-2-medical-surgical-054","急性呼吸窘迫症候群病人使用呼氣末正壓（PEEP）的目的，下列何者正確？",54,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-109-1-medical-surgical-008","有關闌尾炎護理措施的敘述，下列何者正確？",8,109,"2026-09-04",1788510752428]