[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-002":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-111-1-內外科護理學-002","nurse-111-1-medical-surgical-002",111,1,2,"有關病人已出現顱內壓升高的護理處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"保持病人的頭頸在正中位置","抬高床頭 30 度","將抽痰、翻身拍背、擦澡等活動都集中一次完成","應注意體溫的控制及維持排便正常","C",null,[],"本題考點在於顱內壓升高(IICP)的護理處置,並找出敘述錯誤者。依顱內壓調節原理,護理活動(如抽痰、翻身拍背、擦澡)會短暫升高顱內壓,故應「分散、間隔進行並穿插休息」,讓顱內壓有回復時間;若將這些活動「集中一次完成」,會使刺激疊加而造成顱內壓持續飆高,反而有害,故 C 為錯誤處置,選 C。A 保持頭頸正中位可避免頸靜脈受壓、利於腦部靜脈回流,正確;B 抬高床頭約 30 度促進靜脈回流以降低顱內壓,正確;D 控制體溫(避免發燒增加腦代謝)與維持排便通暢(避免用力解便引起 Valsalva 動作升壓),皆正確。因此集中護理活動的敘述錯誤。",[23,27,30,34,38,42],{"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":11,"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？",{"webId":31,"stem":32,"number":33,"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":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？",6,1783840779519]