[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-001":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":11},"nurse-112-3-內外科護理學-001","nurse-112-3-medical-surgical-001",112,3,1,"陳先生因車禍造成頸椎第 5～6 節完全損傷，已度過脊髓休克期，目前進行膀胱訓練，下列敘述何者正確？ ①屬於痙攣型神經性膀胱 ②只要薦神經受到刺激，即會反射排尿 ③可以利用 Crede’s method 以手握拳，壓在膀胱，協助排空 ④當自解：餘尿量＝2：1，且餘尿小於 100 mL 表示膀胱訓練成功",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","A",null,[],"本題考點在於頸椎（上運動神經元）損傷後神經性膀胱的類型與膀胱訓練成效判定。頸髓第 5～6 節屬薦髓以上的上運動神經元損傷，度過脊髓休克期後會形成反射亢進的痙攣型（反射型）神經性膀胱（敘述①正確），且刺激薦神經反射弧即可誘發反射性排尿（敘述②正確），故選 A。判斷關鍵是損傷位置在薦髓以上。敘述③錯誤，Crede's method（手壓膀胱協助排空）適用於下運動神經元的鬆弛型膀胱，痙攣型膀胱按壓恐引發反射亢進與逆流，不宜使用。敘述④錯誤，膀胱訓練成功的標準是餘尿量小於 100 mL，而非以自解與餘尿 2：1 的比例判定。",[23,27,31,34,38,42],{"webId":24,"stem":25,"number":11,"year":26,"session":11},"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":11},"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":10,"year":26,"session":11},"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":11},"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":11},"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":11},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840782140]