[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-019":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-019","nurse-107-2-medical-surgical-019",107,2,19,"有關軟組織損傷病人的護理評估結果，下列何者顯示可能有腔隙症候群？",{"A":14,"B":15,"C":16,"D":17},"周邊脈搏強度 2+","微血管填充時間小於 3 秒","肢端蒼白、變冷","皮膚出現瘀斑","C",null,[],"本題考點是腔隙(腔室)症候群的早期評估徵象。腔室症候群因肢體筋膜腔內壓升高,壓迫血管神經致循環障礙,典型評估以「6P」為據:疼痛(pain)、蒼白(pallor)、無脈(pulselessness)、感覺異常(paresthesia)、麻痺(paralysis)與冰冷(poikilothermia)。選項 C「肢端蒼白、變冷」正屬循環受阻的表現,可能提示腔室症候群,故選 C。A 錯誤:周邊脈搏強度 2+ 屬正常脈搏,非缺血徵象。B 錯誤:微血管填充時間小於 3 秒代表末梢灌流良好,亦為正常。D 錯誤:皮膚瘀斑多為表淺挫傷或凝血相關,非腔室症候群的特異徵象。唯 C 反映末梢循環不良,與腔室症候群相符。",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？",6,1783840750842]