[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-內外科護理學-009","nurse-107-2-medical-surgical-009",107,2,9,"有關肝性腦病變之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"昏迷前期的症狀為嗜睡","應預防便祕","為血液中氨質升高引起之中樞神經障礙","使用利尿劑來促進氨的排除","D",null,[],"本題考點是肝性腦病變(hepatic encephalopathy)的病生理與處置,要選出錯誤者。此症因肝功能衰竭無法代謝含氮廢物,使血中氨質升高、透過血腦障壁引發中樞神經障礙。治療重點在降低腸道氨的生成與吸收(如給予 lactulose、限制蛋白、抗生素),而非用利尿劑,故 D「使用利尿劑促進氨的排除」錯誤——氨並非靠利尿劑排除,且利尿劑造成的低血鉀與鹼中毒反而會加重腦病變。A 正確:昏迷前期常見嗜睡、意識混亂等神經症狀。B 正確:應預防便祕以減少氨在腸道滯留與吸收。C 正確:其本質即血氨升高引起的中樞神經障礙。唯 D 的機轉錯誤,故為答案。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840750724]