[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-005":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-114-3-內外科護理學-005","nurse-114-3-medical-surgical-005",114,3,5,"有關單純頭部損傷病人，其顱內壓升高非代償期初期階段的徵象，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸及脈搏變慢，且血壓下降","呼吸變快、瞳孔放大，且血壓上升","脈搏變慢而有力，且血壓上升","呼吸不規則及脈搏變弱、快，且血壓下降","C",null,[],"本題考點在於顱內壓升高失代償初期的生命徵象變化。考點在於庫欣三徵(Cushing's triad):顱內壓上升壓迫腦幹時,身體代償以升高血壓維持腦部灌流,並反射性使脈搏變慢而有力(洪脈),同時呼吸型態改變,故初期典型為脈搏變慢而有力且血壓上升,選 C。A 血壓下降不符合升壓代償。B 呼吸變快、瞳孔放大且血壓上升的組合並非庫欣反應典型描述。D 呼吸不規則、脈搏變弱且快、血壓下降屬晚期腦幹衰竭或休克前兆,而非非代償初期。因此最符合的是 C。",1,[24,28,32,35,39,42],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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":11,"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？",{"webId":43,"stem":44,"number":45,"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？",6,1783840784896]