[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":25},"nurse-107-1-內外科護理學-058","nurse-107-1-medical-surgical-058",107,1,58,"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？",{"A":14,"B":15,"C":16,"D":17},"肺炎","肺癌","支氣管擴張症","慢性支氣管炎","C",null,[],"本題考點在依痰液性狀鑑別呼吸道疾病。依臨床特徵，大量化膿性濃稠痰液且靜置後分成「上層泡沫、中層清澈、下層濃稠沉積」的三層分層，是支氣管擴張症的典型表現，源於擴張變形的支氣管長期積存大量膿痰，故選 C。A 肺炎多為鏽色或膿性痰但量較少、無典型三層分層。B 肺癌可能血痰但非大量分層膿痰。D 慢性支氣管炎以長期咳嗽咳痰為主、痰量與分層程度不若支氣管擴張症顯著。核心在「大量膿痰＋三層分層」直指支氣管擴張症。","支氣管擴張症是支氣管壁因反覆感染與發炎被破壞、永久擴張變形，形成痰液積存的「囊袋」，故典型為每日大量膿痰、慢性咳嗽、反覆感染與咳血，痰靜置三層（泡沫／漿液／膿性沉澱）為經典描述。診斷以高解析度胸部電腦斷層看到擴張支氣管為準。照護重點在姿位引流、胸腔物理治療與感染時抗生素。與慢性支氣管炎（診斷靠連續兩年、每年至少三個月咳痰的臨床定義）在痰量與影像變化上可資區別。",[24,26,28,30,32],{"term":16,"count":25},4,{"term":27,"count":10},"大量化膿性痰",{"term":29,"count":10},"痰液三層分層",{"term":31,"count":10},"與肺炎、慢性支氣管炎鑑別",{"term":33,"count":10},"姿位引流照護",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-059","有關服用抗結核菌藥物（Rifampin）病人尿液之顏色，下列何者正確？",59,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-075","有關甲狀腺機能亢進症之臨床表徵，下列何者錯誤？",75,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-108-2-medical-surgical-009","有關上消化道出血的臨床表徵，下列何者正確？",9,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-047","有關遲發型過敏反應之敘述，下列何者錯誤？",47,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-medical-surgical-011","有關預防傾倒症候群（Dumping Syndrome）的護理指導，下列何者正確？",11,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-045","有關皮膚癌的預防或處置，下列敘述何者錯誤？",45,112,"2026-09-04",1788510702995]