[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-007":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-109-2-內外科護理學-007","nurse-109-2-medical-surgical-007",109,2,7,"王小姐進行經蝶骨腦下垂體切除術，術後發現鼻部有水樣液體流出之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"利用尿糖試紙檢視分泌物性質","將病人的床頭抬高 30 度","用無菌的抽吸管吸乾淨","用無菌棉球塞住鼻孔","A",null,[],"本題考點在於經蝶骨腦下垂體切除術後辨識腦脊髓液滲漏的護理措施。手術經鼻蝶入路可能傷及硬腦膜，若鼻部流出水樣液體須先判斷是否為腦脊髓液；腦脊髓液含葡萄糖，故以尿糖試紙檢測分泌物，若呈葡萄糖陽性即提示腦脊髓液漏，選 A。B 抬高床頭 30 度雖為術後常規擺位，但無助於「判斷分泌物性質」，非本題所問重點。C 用抽吸管吸取會增加逆行性感染與顱內壓變化風險，屬禁忌。D 以棉球塞鼻孔會阻礙引流、增加感染與壓力，亦不當。故正確措施為以尿糖試紙檢視分泌物。",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？",6,1783840754868]