[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-057":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-057","nurse-107-1-medical-surgical-057",107,1,57,"有關協助肺心症病人清除呼吸道分泌物之措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"教導深呼吸、咳嗽","執行胸部扣擊、震顫","攝取大量水分","執行姿位引流","C",null,[],"本題考點在肺心症病人清除呼吸道分泌物的措施，屬選出錯誤敘述題。依肺心症（慢性肺病導致右心衰竭）的血流動力學，病人常有體液滯留，需限制水分以免加重右心負荷與周邊水腫，故 C 主張攝取大量水分以稀釋分泌物，並不適當，為本題答案。A 正確，教導深呼吸與有效咳嗽可協助排痰。B 正確，胸部扣擊與震顫可鬆動分泌物。D 正確，姿位（姿勢）引流利用重力促進痰液排出。核心在辨識肺心症因右心衰竭而需限水，與一般肺病鼓勵多喝水稀釋痰液的原則有別。","肺心症（cor pulmonale）是慢性肺疾（最常見 COPD）造成肺動脈高壓、右心室肥大終至右心衰竭，臨床見頸靜脈怒張、肝腫大、下肢水腫。體液管理採「限水限鈉、必要時利尿」以減輕前負荷，故不宜大量補水。清除分泌物可用深呼吸咳嗽、胸腔物理治療（扣擊、震顫、姿位引流）與適度濕化氣道，但整體液體攝取仍受限。治療同時針對基礎肺病給氧與支氣管擴張，長期低血氧是肺血管收縮與肺高壓的關鍵驅動。",[24,27,29,31,33],{"term":25,"count":26},"姿位引流",3,{"term":28,"count":10},"肺心症(右心衰竭)",{"term":30,"count":10},"體液滯留與限水",{"term":32,"count":10},"胸部物理治療(扣擊、震顫)",{"term":34,"count":10},"深呼吸與有效咳嗽",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-058","當病人出現大量化膿性濃稠痰液，且將痰液靜置於杯子內，會分成上層泡沫、中層清澈、下層濃稠，下列何者為其最可能之診斷？",58,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-107-2-medical-surgical-074","有關長期服用 prednisolone 的護理指導，下列何者錯誤？",74,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-108-2-medical-surgical-008","有關青光眼藥物治療作用之敘述，下列何者錯誤？",8,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-medical-surgical-046","針對右髖關節嚴重燒傷病人，為維持其關節最大功能之姿位，下列何者正確？",46,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-medical-surgical-010","有關肝硬化引起腹水機轉之敘述，下列何者正確？",10,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-044","王同學騎機車不慎與汽車擦撞引發機車起火，右小腿外側有 15 公分 ×7.5 公分的皮膚受損，診斷為深二度燒傷。下列臨床表徵何者正確？①皮膚變紅無水泡 ②皮膚呈灰白色有水泡 ③劇烈疼痛感 ④汗腺及毛囊完整 ⑤表皮及真皮層受損",44,112,"2026-09-04",1788510702983]