[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-107-2-內外科護理學-028","nurse-107-2-medical-surgical-028",107,2,28,"病人主訴常有心悸的感覺，心尖脈速率 98 次\u002F分鐘，節律不規則，橈動脈脈搏次數為 80 次\u002F分鐘。下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"心房纖維性顫動","心室纖維性顫動","心房撲動","陣發性上心室性心搏過速","A",null,[],"本題考點是脈搏短絀(pulse deficit)的判讀。心尖脈 98、橈動脈 80,兩者差距即脈搏短絀,代表部分心跳過弱無法傳到週邊,加上節律不規則,最符合心房顫動『絕對不規則』的特徵,故選 A。(B)心室纖維顫動是致命性心律,病人無有效心輸出、意識喪失,不會只是主訴心悸;(C)心房撲動節律多呈規則的鋸齒波,非完全不規則;(D)陣發性上心室頻脈心跳快而規則,無脈搏短絀。","脈搏短絀等於心尖脈減橈脈大於 0,是心房顫動典型徵象,因心室充盈不足的搏動無法產生可觸及的橈脈。測量須兩人同時聽心尖、觸橈脈計滿一分鐘。心房顫動心電圖:無 P 波、代以 f 波、RR 間距絕對不規則(irregularly irregular)。",[24,26,29,31],{"term":25,"count":10},"心房顫動",{"term":27,"count":28},"脈搏短絀",1,{"term":30,"count":28},"心尖脈",{"term":32,"count":28},"節律不規則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-029","有關心肌梗塞使用 aspirin 之敘述，下列何者正確？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-medical-surgical-045","有關生殖器疱疹的敘述，下列何者錯誤？",45,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-059","下列何項實驗室檢查結果最能顯示腎臟功能受損？",59,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-110-1-medical-surgical-017","有關胃食道逆流的居家照護注意事項，下列何者錯誤？",17,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-medical-surgical-061","林小姐食慾不振，嚴重水腫，無法平躺睡覺，至某醫學中心就診，抽血檢查結果血清 Creatinine=13.8 mg\u002FdL，eGFR=9.2 mL\u002Fmin\u002F1.73 m 2 ，依此結果，林小姐是處於慢性腎臟病（CKD）的第幾期？",61,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-015","有關急性胃炎之護理措施，下列何者錯誤？",15,112,"2026-09-04",1788510725138]