[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-3-內外科護理學-018","nurse-113-3-medical-surgical-018",113,3,18,"有關高血壓的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"90%以上的高血壓屬於續發性高血壓","抽菸、喝酒、高膽固醇飲食是導致續發性高血壓的原因","惡性高血壓的收縮壓在 130 mmHg 以上，是一種內科急症","高血壓控制不佳常導致腦、眼睛、心、腎臟等器官的合併症","D",null,[],"本題考點在於高血壓的分類、危險因子與併發症。依病生理,高血壓長期控制不佳會損害標的器官,導致腦(中風)、眼(視網膜病變)、心(左心室肥厚、心衰)、腎(腎病變)等合併症,故 D 正確。A 錯在約 90～95% 的高血壓屬「原發性(本態性)」高血壓,續發性僅少數;B 錯在抽菸、飲酒、高膽固醇飲食是原發性高血壓的危險因子與生活型態因素,續發性高血壓另有明確病因(如腎動脈狹窄、內分泌腫瘤);C 錯在惡性高血壓收縮壓多在 180 mmHg 以上並伴急性器官損害,130 mmHg 遠未達標準。本題屬高血壓概念辨識題。","原發性(essential)高血壓佔絕大多數,無單一病因、與遺傳及生活型態相關;續發性有明確病因(腎性、內分泌如原發性醛固酮增多、嗜鉻細胞瘤、主動脈窄縮)。標的器官損害口訣:腦、心、腎、眼、血管。高血壓危象(收縮壓>180\u002F舒張>120 併器官損傷)需緊急處理。生活型態危險因子:高鈉、肥胖、抽菸、酗酒、久坐、壓力。",[24,27,29,31],{"term":25,"count":26},"原發性高血壓",1,{"term":28,"count":26},"標的器官損害",{"term":30,"count":26},"高血壓危險因子",{"term":32,"count":26},"惡性高血壓",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-medical-surgical-019","評估靜脈曲張之靜脈瓣功能的檢查，下列何者正確？①逆流型充盈試驗（retrograde filling test） ②艾倫測驗（Allen’s test） ③霍曼氏徵象（Homan sign） ④手壓測驗（manual compression test）",19,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-medical-surgical-015","病人左耳聽力正常，右耳有聽力障礙，以韋伯試驗（Weber test）發現右耳比較大聲，再以任內試驗（Rinne test）發現左耳空氣傳導＞骨傳導、右耳空氣傳導≦骨傳導，下列何者是病人右耳最可能的病變位置？ ①外耳 ②中耳 ③內耳 ④耳蝸神經",15,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-medical-surgical-009","肝性腦病變可能出現的臨床表徵，下列何者錯誤？",9,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-medical-surgical-027","毛地黃中毒最常出現的症狀，下列何者正確？",27,106,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-107-2-medical-surgical-071","救護車送入一位昏迷病人，心跳 120 次\u002F分，血壓 85\u002F50 mmHg，呼吸速率 35 次\u002F分，呼吸有一股很濃的腐壞水果味，血糖為 600 mg\u002FdL。下列何者為其最可能之診斷？",71,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-medical-surgical-025","一位 26 歲新婚女性，有計畫懷孕，近日因心臟不適，經醫師診斷二尖瓣狹窄，並建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用之敘述，下列何者最適當？",25,109,"2026-09-04",1788510752608]