[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-057":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":26},"nurse-107-2-內外科護理學-057","nurse-107-2-medical-surgical-057",107,2,57,"教導慢性阻塞性肺疾病病人採用橫膈式呼吸與噘嘴式呼吸的目的，下列何者正確？①降低呼吸作功 ②增加呼吸速率 ③減少潮氣容積 ④促進二氧化碳的排出",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在慢性阻塞性肺疾病(COPD)呼吸訓練的目的。依機轉,橫膈式呼吸以橫膈取代費力的輔助呼吸肌,可①降低呼吸作功;噘嘴式呼吸在呼氣時製造背壓,防止小氣道過早塌陷、延長呼氣,有助④二氧化碳排出並改善氣體滯留,故選①④,即 B。②增加呼吸速率為錯,兩者目的是『減慢』呼吸、拉長呼氣;③減少潮氣容積為錯,訓練反而使呼吸較深、潮氣容積『增加』以提升換氣效率。故僅①④正確,選項 A、C、D 因含②或③而不符。","COPD 因氣道阻塞與肺彈性喪失導致呼氣受限、氣體滯留與功能性肺餘容積增加,病人常出現淺快呼吸而增加呼吸功。噘嘴呼氣延長吐氣時間、維持氣道正壓避免動態塌陷,減少滯留的 CO₂;橫膈呼吸提升橫膈效率、降低輔助肌耗能。口訣『慢而深、長吐氣』:降作功、增潮氣、促排碳,而非快而淺。",[24,27,29,31],{"term":25,"count":26},"慢性阻塞性肺疾病",3,{"term":28,"count":26},"噘嘴式呼吸",{"term":30,"count":10},"橫膈式呼吸",{"term":32,"count":33},"呼吸作功",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-058","執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",58,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-108-1-medical-surgical-074","有關抗利尿素分泌不當症候群（SIADH）病人的護理措施，下列何者錯誤？",74,108,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-109-1-medical-surgical-008","有關闌尾炎護理措施的敘述，下列何者正確？",8,109,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-110-1-medical-surgical-046","有關燒傷病人居家照護的護理指導，下列何者錯誤？",46,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-010","有關慢性胰臟炎典型徵象的敘述，下列何者錯誤？",10,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-044","有關牛皮癬之敘述，下列何者正確？",44,112,"2026-09-04",1788510725407]