[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-108-1-內外科護理學-003","nurse-108-1-medical-surgical-003",108,1,3,"有關顱內壓升高的治療，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"建議使用輕微高張溶液如 5%葡萄糖 0.45%生理食鹽水（D5 1\u002F2S）","可利用巴比妥酸鹽降低腦部的新陳代謝率","使用 Mannitol 或 Glycerol 應注意體液電解質平衡","若顱內壓升高情況已改善，應立即停用降腦壓藥物","D",null,[],"本題考點是顱內壓（IICP）升高的治療原則，要選「錯誤」者。依降腦壓用藥原則，即使顱內壓已改善也不可驟然停藥，應逐步減量以防反彈性回升，故主張「立即停用」的 D 為錯誤。A 於題意中作為正確敘述——選用輕度高張的溶液維持適當滲透壓、避免使用會加重腦水腫的低張液。B 正確——巴比妥酸鹽可降低腦部新陳代謝率與耗氧，減緩腦組織需求。C 正確——使用 Mannitol 或 Glycerol 這類滲透性利尿劑時，會大量排水利尿，須密切監測體液與電解質平衡以防脫水與電解質紊亂。判斷關鍵在於「降腦壓藥須漸減不可驟停」，避免顱內壓反彈危及病人。",[23,27,31,34,38,42],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":11,"year":26,"session":10},"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？",{"webId":35,"stem":36,"number":37,"year":26,"session":10},"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":39,"stem":40,"number":41,"year":26,"session":10},"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":43,"stem":44,"number":45,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840744394]