[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-002":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-114-2-內外科護理學-002","nurse-114-2-medical-surgical-002",114,2,"有關顱內腫瘤病人顱內壓 ICP=18 mmHg，其照護之敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"出現複視時，應鼓勵多下床活動","採高劑量類固醇治療時，應該要監測其血糖值","出現腦組織灌流失效時，應鼓勵液體攝取","出現腦疝是病情惡化之早期臨床表徵","B",null,[],"本題考點在於顱內壓升高（ICP 18 mmHg，已高於正常5–15 mmHg）病人的照護。依類固醇會升高血糖的藥理作用，高劑量類固醇（如 dexamethasone）用於減輕腦水腫時應監測血糖以防高血糖，故 B 正確。A 錯在出現複視代表神經功能受損，應防跌與休息而非鼓勵多下床活動。C 錯在腦組織灌流失效時應限制而非鼓勵液體攝取，以免加重腦水腫。D 錯在腦疝是顱內壓惡化的晚期、危急表徵，非早期表現，故選 B。","顱內壓升高照護原則：床頭抬高30度、避免頸部彎曲與腹壓上升、限水、維持通氣防高二氧化碳。類固醇減腦水腫但升血糖、增感染風險故須監測。腦疝（如天幕裂孔疝）出現瞳孔不等、庫欣三徵時已屬末期危象。",[23,26,29,31],{"term":24,"count":25},"顱內壓升高",11,{"term":27,"count":28},"類固醇與血糖",1,{"term":30,"count":28},"腦水腫處置",{"term":32,"count":28},"腦疝",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-003","下列何者不是肝硬化病人發生肝性腦病變的主要誘發因子？",3,{"webId":39,"stem":40,"number":41,"year":9,"session":37},"nurse-114-3-medical-surgical-049","有關泌尿道感染，下列敘述何者最適當？①確立診斷是指尿液培養每毫升菌落>10 5 個 ②上泌尿道感染是指尿道炎及膀胱炎 ③膀胱炎常見的致病菌為大腸桿菌 ④症狀改善或沒發燒即可停用抗生素",49,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-115-2-medical-surgical-043","有關抗利尿不當症候群（SIADH）的臨床表徵，下列何者正確？①血鈉 128 mEq\u002FL ②尿鈉 40 mEq\u002FL ③尿比重 1.050 ④血漿滲透壓 350 mOsmo\u002Fkg ⑤尿液滲透壓 50 mOsmo\u002Fkg",43,115,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-107-1-medical-surgical-031","有關心動週期（Cardiac Cycle）之敘述，下列何者正確？",31,107,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-108-1-medical-surgical-075","依據吳先生目前的生理狀態，下列何者正確？",75,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",29,109,"2026-09-04",1788510759475]