[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-114-1-內外科護理學-001","nurse-114-1-medical-surgical-001",114,1,"有關巴金森氏症病人服用抗膽鹼激性製劑trihexyphenudyl（Artane ®）之敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"長期服用會出現姿位型低血壓","副作用少見，偶有情緒改變和頭痛情形","常與抗病毒製劑合併使用，可有效控制失眠和頭痛","需要監測眼壓變化，預防青光眼","D",null,[],"本題考點在於抗膽鹼激性藥物 trihexyphenidyl（Artane）用於巴金森氏症的副作用監測。此藥為抗膽鹼藥，會抑制副交感神經、使瞳孔散大並阻礙房水排出，可能升高眼壓誘發青光眼，故須監測眼壓、預防青光眼，選 D。（A）錯：姿位性低血壓主要見於左旋多巴等劑，非此抗膽鹼藥的典型副作用。（B）錯：抗膽鹼副作用其實常見且明顯（口乾、便祕、尿滯留、視力模糊），非少見。（C）錯：此藥用於控制震顫與僵硬，並非與抗病毒製劑併用來控制失眠頭痛，敘述張冠李戴。","抗膽鹼藥（anticholinergic，如 trihexyphenidyl、benztropine）抑制乙醯膽鹼，改善巴金森氏症的震顫與肌肉僵直。典型抗膽鹼副作用口訣：「乾（口乾）、脹（便祕）、滯（尿滯留）、糊（視力模糊）、熱（無汗）」；因散瞳阻礙房水回流，閉角型青光眼為禁忌，需監測眼壓。老年人還易出現意識混亂。與左旋多巴的姿位性低血壓副作用要區分。",[23,26,29,31,33],{"term":24,"count":25},"巴金森氏症",7,{"term":27,"count":28},"青光眼",5,{"term":30,"count":10},"抗膽鹼藥",{"term":32,"count":10},"trihexyphenidyl",{"term":34,"count":10},"眼壓監測",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-medical-surgical-002","多發性硬化症病人之日常活動護理指導，下列敘述何者正確？",2,{"webId":41,"stem":42,"number":43,"year":9,"session":39},"nurse-114-2-medical-surgical-048","下列何者不是腸病毒 71 型病人併發重症的前兆？",48,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-115-1-medical-surgical-042","有關副甲狀腺功能低下之敘述，下列何者正確？",42,115,{"webId":50,"stem":51,"number":52,"year":53,"session":39},"nurse-106-2-medical-surgical-060","與尿液 pH 值無關之尿路結石成分，下列何者正確？",60,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-024","有關喉癌手術後發聲及吞嚥功能改變之敘述，下列何者錯誤？",24,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-medical-surgical-058","承上題，下列何項處置可以最有效的改善王先生酸鹼不平衡之問題？",58,109,"2026-09-04",1788510757185]