[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-033","nurse-106-1-medical-surgical-033",106,1,33,"病人下肢出現腫脹、發紅、溫熱感且霍曼氏徵象（Homan’s Sign）呈陽性反應，下列何者為其最有可能的診斷？",{"A":14,"B":15,"C":16,"D":17},"靜脈曲張","周邊動脈阻塞","深部靜脈栓塞","右心衰竭","C",null,[],"本題考點為深部靜脈栓塞（DVT）的臨床辨識。下肢腫脹、發紅、溫熱感合併霍曼氏徵象（Homan's sign，足背屈時小腿疼痛）陽性，是DVT的典型表現，因血栓阻塞深部靜脈造成回流受阻與發炎，C正確。A靜脈曲張以表淺靜脈迂曲為主、少見急性紅熱；B周邊動脈阻塞表現為蒼白、冰冷、無脈；D右心衰竭為兩側對稱性水腫，皆不符，故選C。","DVT危險＝Virchow三要素：血流滯緩、血管內皮受損、血液高凝。Homan's sign雖經典但敏感度不高，確診靠都卜勒超音波或D-dimer。DVT最怕血栓脫落造成肺栓塞，故臥床時衛教勿按摩患肢。",[24,27,29,32,35],{"term":25,"count":26},"肺栓塞",9,{"term":16,"count":28},6,{"term":30,"count":31},"霍曼氏徵象",4,{"term":33,"count":34},"Virchow三要素",2,{"term":15,"count":10},[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-1-medical-surgical-034","有關準備化學治療藥劑的注意事項，下列何者錯誤？",34,{"webId":42,"stem":43,"number":44,"year":9,"session":34},"nurse-106-2-medical-surgical-050","下列何者為確診病人有無肺結核感染最準確的方式？",50,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-medical-surgical-064","有關急性腎絲球腎炎之敘述，下列何者錯誤？",64,107,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-108-2-medical-surgical-022","冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",22,108,{"webId":56,"stem":57,"number":58,"year":59,"session":34},"nurse-109-2-medical-surgical-066","有關腎臟所製造荷爾蒙的生理功能，下列何者正確？",66,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-medical-surgical-020","有關痛風藥物 Probenecis（Benemid）的主要作用，下列何者正確？",20,111,"2026-09-04",1788510692975]