[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-內外科護理學-038","nurse-115-2-medical-surgical-038",115,2,38,"有關良性前列腺肥大的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"初期症狀首先出現逆行性射精","晚期症狀出現滿溢型尿失禁","直腸指診可準確診斷尿道阻塞的程度","國際前列腺症狀量表（IPSS）總分 7 分為嚴重症狀","B",null,[],"本題考點是良性攝護腺肥大的症狀進程與評估工具。依尿路阻塞病程,腺體增大壓迫尿道使膀胱需更高壓力排尿,殘尿量逐步累積,晚期膀胱過度膨脹到腔內壓超過尿道阻力時尿液自然滴漏,形成滿溢型尿失禁,故 B 正確。A 錯,初期以夜尿、頻尿、尿流變細、尿流中斷與排尿猶豫等阻塞及刺激症狀為主,逆行性射精常見於經尿道攝護腺切除術後而非疾病初期。C 錯,肛門指診僅能評估腺體大小、質地與有無硬結,阻塞程度須靠尿流速檢查與殘尿量測定。D 錯,國際攝護腺症狀評分 0 至 7 分屬輕度,8 至 19 分為中度,20 分以上才算重度。","延伸病生理:攝護腺與尿道解剖關係決定症狀型態,增大部位多在包圍尿道的移行區,故良性肥大以阻塞症狀為主;攝護腺癌多起於周邊區,早期反而無阻塞症狀,這是兩者症狀時序差異的解剖依據,也說明肛門指診主要摸到的是周邊區硬結。尿失禁分類口訣:壓力型漏在腹壓上升時、急迫型是膀胱過度活動、滿溢型是滯留到滿出來、功能型是行動或認知受限來不及。滿溢型的關鍵評估是殘尿量而非漏尿量,若只看漏尿容易誤判為急迫型。可連結概念:α 阻斷劑與 5α 還原酶抑制劑的作用差異、急性尿液滯留處置原則、攝護腺特異抗原判讀限制。",[24,27,29,32,34],{"term":25,"count":26},"良性攝護腺肥大",4,{"term":28,"count":10},"滿溢型尿失禁",{"term":30,"count":31},"殘尿量與尿流速評估",1,{"term":33,"count":31},"國際攝護腺症狀評分",{"term":35,"count":31},"肛門指診限制",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-medical-surgical-039","有關血液透析病人動靜脈瘻管的敘述，下列何者最適當？",39,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-106-2-medical-surgical-005","有關巴金森氏症病人服用 levodopa 藥物之護理指導，下列何者正確？①補充維生素 B 6 以促進藥物吸收 ②補充高蛋白飲食以增加藥物效果 ③可能會出現舞蹈症或不自主運動 ④長期使用會出現 on-off 反應",5,106,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-107-1-medical-surgical-019","有關全膝關節置換術後的護理指導，下列敘述何者錯誤？",19,107,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-108-1-medical-surgical-057","下列何者最容易造成 α 1 -抗胰蛋白酶（α 1 -antitrypsin）缺乏？",57,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-medical-surgical-021","病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",21,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-110-2-medical-surgical-055","下列何者為肺炎病人最可能出現的臨床表徵？",55,110,"2026-08-06",1787299037276]