[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-106-2-內外科護理學-016","nurse-106-2-medical-surgical-016",106,2,16,"有關腸阻塞的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"迴腸以下阻塞會出現噁心和嘔吐","全身性循環血量嚴重減少，而引起低血壓","腸壓增加，腸道吸收及液體瀦留能力降低，而使尿量增加","血管內鈉離子、鉀離子及白血球數均下降","B",null,[],"本題考點是腸阻塞(intestinal obstruction)的病生理變化。依機轉,腸內容物與液體無法通過,大量體液滯留腸腔並經嘔吐流失,造成全身有效循環血量嚴重減少而引起低血壓,故(B)正確。(A)阻塞部位愈高(近端)嘔吐愈早愈明顯;迴腸以『下』屬遠端,嘔吐出現較晚,敘述反了。(C)腸壓升高使腸壁吸收下降、液體滯留腸腔,循環血量與尿量應『減少』而非增加。(D)鈉、鉀會流失下降,但發炎或絞窄時白血球上升,非全部下降。","記憶:阻塞『愈高愈早吐、愈低愈脹』。第三間隙(腸腔)積液導致血容量不足→低血壓、心搏過速、少尿,是腸阻塞主要致命機轉。電解質變化為低鉀低氯低鈉,若進展為腸絞窄壞死則WBC↑、出現代謝性酸中毒,須高度警覺。",[24,27,29,32],{"term":25,"count":26},"腸阻塞",3,{"term":28,"count":10},"電解質不平衡",{"term":30,"count":31},"第三間隙體液流失",1,{"term":33,"count":31},"低血容量",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-medical-surgical-017","有關骨折癒合及治療之敘述，下列何者錯誤？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-107-1-medical-surgical-033","手術後輸血導致出現溶血性黃疸所造成之檢驗值變化，下列何者正確？",33,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-medical-surgical-047","有關不同燒傷深度的傷口癒合情形之敘述，下列何者錯誤？",47,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-109-1-medical-surgical-005","指導重症肌無力病人之護理措施，下列何者錯誤？",5,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-medical-surgical-049","有關心臟衰竭合併肺水腫病人之護理措施及其原理的敘述，下列何者正確？",49,110,{"webId":59,"stem":60,"number":26,"year":61,"session":10},"nurse-111-2-medical-surgical-003","有關椎間盤突出手術治療的敘述，下列何者正確？",111,"2026-09-04",1788510698366]