[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-026","nurse-106-2-medical-surgical-026",106,2,26,"懷疑病人罹患心內膜炎時，護理師最需要收集的資料，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是否有心臟病家族史","有無抽菸","有無心臟血管手術紀錄","有無體重增加情形","C",null,[],"本題考點是感染性心內膜炎(infective endocarditis)的危險因子與病史收集重點。依病理,細菌易附著於受損或人工的心臟瓣膜與內膜,故曾接受心臟血管手術(含人工瓣膜、修補)是重要危險因子,(C)為最需收集的資料。(A)家族史與心內膜炎關聯低。(B)抽菸並非其主要危險因子。(D)體重增加與心內膜炎無直接關係。此外靜脈藥癮、侵入性處置亦屬重點,均圍繞『內膜或瓣膜受損+菌血症』的核心機轉。","心內膜炎致病三要素:內膜或瓣膜受損(先天性心臟病、風濕性瓣膜病、人工瓣膜、既往手術)+菌血症來源(拔牙、侵入性處置、靜脈藥癮)+細菌附著形成贅生物。典型表現含發燒、新心雜音、Osler結節、Janeway病灶、瘀點與脾腫。高危族群侵入性處置前需預防性抗生素。",[24,27,30,32],{"term":25,"count":26},"感染性心內膜炎",3,{"term":28,"count":29},"心臟瓣膜手術史",1,{"term":31,"count":29},"贅生物",{"term":33,"count":29},"菌血症",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-medical-surgical-027","毛地黃中毒最常出現的症狀，下列何者正確？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-medical-surgical-043","有關末期腎疾病（ESRD）病人之液體攝取量的估計原則，下列何者最適當？",43,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-medical-surgical-057","教導慢性阻塞性肺疾病病人採用橫膈式呼吸與噘嘴式呼吸的目的，下列何者正確？①降低呼吸作功 ②增加呼吸速率 ③減少潮氣容積 ④促進二氧化碳的排出",57,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-1-medical-surgical-015","肝穿刺切片檢查時，為避免橫膈穿孔與肝臟撕裂傷，教導病人當針頭插入肝臟時應採取的動作，下列何者正確？",15,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-110-1-medical-surgical-059","病人的動脈血氧分析結果 PaO 2 值為 50 mmHg，此病人 PaO 2 的判讀及處置，下列何者正確？",59,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-medical-surgical-013","有關胃食道逆流的敘述，下列何者正確？",13,111,"2026-09-04",1788510698440]