[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":26},"nurse-108-1-內外科護理學-031","nurse-108-1-medical-surgical-031",108,1,31,"主要症狀為腹水、下肢水腫及肝脾腫大之瓣膜性心臟病病人，其最可能的瓣膜問題為下列何者？",{"A":14,"B":15,"C":16,"D":17},"主動脈瓣狹窄","二尖瓣狹窄","三尖瓣閉鎖不全","二尖瓣閉鎖不全","C",null,[],"本題考點為以右心衰竭表徵推斷受損瓣膜。依血流動力，腹水、下肢水腫與肝脾腫大屬體循環靜脈鬱血，即右心負荷過重的表現；三尖瓣閉鎖不全使血液於收縮期逆流回右心房與體靜脈，造成上述系統性鬱血，故選C。A主動脈瓣狹窄與D二尖瓣閉鎖不全影響左心，早期以肺鬱血為主；B二尖瓣狹窄亦先致肺鬱血。故右心系統鬱血最指向三尖瓣閉鎖不全。","判讀口訣：左心病變→肺鬱血（呼吸困難、端坐呼吸、肺囉音）；右心病變→體循環鬱血（頸靜脈怒張、肝脾腫大、下肢水腫、腹水）。三尖瓣閉鎖不全常繼發於右心室擴大或肺高壓。以「症狀在肺還是在全身」快速定位左右心與相應瓣膜。",[24,27,29,30],{"term":25,"count":26},"右心衰竭",3,{"term":28,"count":26},"體循環鬱血",{"term":16,"count":10},{"term":31,"count":10},"瓣膜性心臟病",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-medical-surgical-032","有關高血壓病人的護理指導，下列何者最不適當？",32,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-medical-surgical-048","有關類風溼性關節炎流行病學之敘述，下列何者錯誤？",48,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-medical-surgical-062","張先生，68 歲，罹患糖尿病、高血壓，冠心症長期服用降血糖藥物、抗凝血劑及高血壓藥物，但血壓仍維持在 150～170／90～110 mmHg。近日因血尿、下肢水腫、發燒而入院，住院期間病人不宜接受下列何項診斷性檢查？",62,109,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-110-2-medical-surgical-020","有關痛風性關節炎病人的護理指導，下列何者正確？",20,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-medical-surgical-064","有關腎臟癌的敘述，下列何者正確？",64,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-3-medical-surgical-018","有關心臟去纖維震顫器使用的敘述，下列何者錯誤？",18,112,"2026-09-04",1788510709766]