[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-107-1-內外科護理學-053","nurse-107-1-medical-surgical-053",107,1,53,"當發現胸腔術後病人的胸腔水下引流系統的水封瓶內出現大量氣泡時之處置，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"扭擠胸管","減少抽吸壓力","檢查引流系統有無漏氣處","代表引流系統功能完好，無需處置","C",null,[],"本題考點在胸腔水下引流系統水封瓶出現「大量氣泡」的判讀與處置。依水封瓶原理，正常僅在咳嗽或吐氣時間歇冒泡；若持續大量冒泡，代表系統存在漏氣，應由病人端沿管路逐段檢查接頭與各連接處有無鬆脫破損，找出漏氣點，選 C。A 扭擠（擠壓）胸管並非常規、可能造成過大負壓與組織損傷。B 減少抽吸壓力無法解決漏氣根源。D 錯在持續大量冒泡屬異常訊號而非功能完好，不可置之不理。核心在辨識「持續冒泡＝漏氣」。","胸腔引流三瓶系統：收集瓶、水封瓶、抽吸控制瓶。水封瓶功能是「單向閥」，防空氣逆流入胸腔並顯示氣漏與呼吸擺動（tidaling）。正常水封瓶隨呼吸上下擺動、僅在氣胸排氣時間歇冒泡；「持續大量冒泡」提示漏氣，檢查順序由近病人端往機器端夾管定位——夾至某段冒泡停止即知漏點在此段之後。若夾近胸壁仍冒泡則可能為病人本身持續漏氣（支氣管肋膜瘻管）。水封瓶擺動消失則須警覺管路阻塞或肺已擴張。",[24,27,29,31,33],{"term":25,"count":26},"胸腔水下引流",3,{"term":28,"count":10},"水封瓶單向閥原理",{"term":30,"count":10},"持續冒泡=系統漏氣",{"term":32,"count":10},"逐段檢查漏氣點",{"term":34,"count":10},"呼吸擺動 tidaling",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-054","70 歲的劉老先生，一個月前不小心頭部撞到門框，近一星期家人發現劉老先生行為怪異，送醫檢查後診斷為慢性硬膜下出血，下列敘述何者錯誤？",54,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-107-2-medical-surgical-070","有關使用抗甲狀腺硫醯胺類（thionamides）藥物之敘述，下列何者正確？",70,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-108-2-medical-surgical-004","顱內壓升高（IICP）的臨床表徵，下列何者正確？",4,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-medical-surgical-042","真性紅血球增多症的臨床表徵，下列何者錯誤？",42,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-006","有關頭部創傷之敘述，下列何者正確？",6,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-040","有關癌症病人血小板減少症之處置，下列何者正確？",40,112,"2026-09-04",1788510702947]