[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-107-1-內外科護理學-025","nurse-107-1-medical-surgical-025",107,1,25,"有關左心室肥大評估結果之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"觸診心尖搏動減弱","觸診心尖搏動向左下偏移","心電圖出現心室早期收縮","心電圖 QRS 波變寬","A",null,[],"本題考點為左心室肥大的評估表現。依左心室肥大使心肌質量與收縮力增強，心尖搏動應「增強且有力」，並因心臟擴大而向左下偏移，故A「觸診心尖搏動減弱」與實際相反，為錯誤而選A。B心尖搏動向左下偏移反映左心室擴大，正確;C肥厚心肌易有電生理不穩而出現心室早期收縮，正確;D左心室肥大使心室去極化時間延長，心電圖 QRS 波增寬並可見高電壓，正確。","左心室肥大(LVH)的體檢與心電圖表現須連貫理解:心尖搏動(PMI)因心室變大而外移至左下(正常在第五肋間鎖骨中線),且搏動有力持久,可觸及抬舉性搏動(heave)。心電圖依 Sokolow-Lyon 準則看左胸導高電壓(如 SV1+RV5\u002FV6>35 mm)、QRS 增寬與 ST-T 的 strain 型改變。病因多為長期高血壓、主動脈瓣狹窄等後負荷增加。與擴張性心衰的「減弱、瀰散性搏動」不同,LVH 早期是「有力而外移」。記憶:肥大心「打得更用力、位置更外側」。",[24,26,28,30],{"term":25,"count":10},"左心室肥大",{"term":27,"count":10},"心尖搏動增強與左下偏移",{"term":29,"count":10},"心電圖 QRS 增寬",{"term":31,"count":10},"心室早期收縮",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-026","有關低血壓的治療，下列敘述何者錯誤？",26,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-medical-surgical-042","有關缺鐵性貧血病人鐵劑補充之敘述，下列何者錯誤？",42,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-056","有關呼吸性酸中毒之敘述，下列何者正確？",56,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-medical-surgical-014","有關舌癌的敘述，下列何者正確？",14,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-medical-surgical-058","護理一位出現肺水腫症狀與徵候的病人，下列措施之順序，何者最適當？①經由鼻導管給與 2 L\u002Fmin 氧氣治療 ②呼叫醫師 ③協助病人採高坐臥 ④準備床邊抽痰用物",58,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-012","有關肝活體組織切片檢查，下列敘述何者正確？",12,112,"2026-09-04",1788510702658]