[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-004":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-004","nurse-108-1-medical-surgical-004",108,1,4,"有關脊髓損傷所引起的神經性膀胱之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"下運動神經元神經性膀胱之排尿反射中樞是完整的","下運動神經元神經性膀胱訓練時可利用反射來排尿","上運動神經元神經性膀胱病人可以敲恥骨上緣或刺激肛門以誘發排尿","上運動神經元神經性膀胱的病人常發生腎臟合併症","C",null,[],"本題考點是脊髓損傷所致神經性膀胱的分類與訓練。依神經生理，上運動神經元（UMN）損傷時薦髓的排尿反射中樞仍完整，膀胱呈反射亢進，可用叩擊恥骨上緣或刺激肛門等扳機點誘發反射性排尿，故正解為 C。A 錯在下運動神經元（LMN）損傷破壞了薦髓反射中樞，反射並不完整，膀胱呈弛緩性。B 錯在 LMN 神經性膀胱因反射消失，無法利用反射排尿，須靠 Valsalva 或 Credé 手壓法協助排空。D 錯在此段情境設定下，題意將 UMN 常發生腎臟合併症列為非正解——分辨重點在反射中樞是否完整。判斷關鍵在於「UMN 反射中樞完整、可用扳機點誘發；LMN 反射中樞受損、需手法排尿」。",[23,27,31,35,38,42],{"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":34,"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？",3,{"webId":36,"stem":37,"number":11,"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？",{"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？",6,1783840744398]