[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-106-1-內外科護理學-025","nurse-106-1-medical-surgical-025",106,1,25,"有關心包膜填塞手術治療後之護理措施，下列何者最不需要？",{"A":14,"B":15,"C":16,"D":17},"觀察生命徵象與心電圖之變化","補充足夠之體液以增加心輸出量","若有引流管留置，則需確認引流管之通暢","採行保護隔離措施","D",null,[],"本題考點為心包膜填塞（心包腔積液壓迫心臟）術後護理重點。此症使心室舒張受限、心輸出量下降，術後須：A密切監測生命徵象與心電圖以掌握循環，需要；B補充體液以維持前負荷、提升心輸出量，需要；C確認引流管通暢以防積液再積壓，需要。D保護隔離用於免疫低下病人防止外來感染，與心包填塞術後照護重點無關，最不需要，故選D。","填塞三徵（Beck's triad）：血壓下降、頸靜脈怒張、心音遙遠。解除填塞後仍須防再積液，故引流通暢與補液維持前負荷是關鍵。保護隔離（reverse isolation）針對嗜中性球低下者，非此情境所需。",[24,27,30,33,35],{"term":25,"count":26},"前負荷",7,{"term":28,"count":29},"心輸出量",4,{"term":31,"count":32},"保護隔離",2,{"term":34,"count":10},"心包膜填塞",{"term":36,"count":10},"引流管通暢",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-medical-surgical-026","有關心因性休克造成之血流動力學變化，下列何者正確？",26,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-106-2-medical-surgical-042","有關一氧化碳中毒的臨床表徵，下列何者正確？",42,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-107-1-medical-surgical-056","有關慢性阻塞性肺部疾病病人使用 Aminophylline 治療時之敘述，下列何者正確？①主要作用為支氣管擴張 ②副作用為心律不整和高血壓 ③靜脈注射速度不可超過 20～25 mg\u002Fmin ④血清治療濃度應維持在 20～40 μg\u002FmL 之間",56,107,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-108-2-medical-surgical-014","病人骨盆骨折後第 2 天，突然發生意識改變、呼吸與心跳加速、瘀斑及發燒等徵象，下列何者為病人最可能發生的問題？",14,108,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-109-2-medical-surgical-058","李同學在打籃球時突然感到左胸尖銳疼痛到急診求治，護理師視診發現李同學的左側胸部起伏較小，且氣管偏向右側，聽診發現左側肺部呼吸音減弱、叩診左側肺部出現過度反響音，此時李同學最可能發生下列何種情形？",58,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-1-medical-surgical-012","下列何者不是食道癌常見的臨床表徵？",12,111,"2026-09-04",1788510692876]