[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":25},"nurse-108-1-內外科護理學-051","nurse-108-1-medical-surgical-051",108,1,51,"有關膿胸病變發生之部位，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"肺泡","支氣管","肺實質","肋膜腔","D",null,[],"本題考點在於膿胸的解剖部位定義。依定義，膿胸（empyema）是感染性膿液積聚於肋膜腔（即臟層與壁層肋膜之間的潛在空腔），故選 D。（A）錯在肺泡內積膿屬肺炎或肺實質化的層次，並非肋膜腔這個體腔。（B）錯在支氣管為傳導氣道的管腔，非膿液積聚成腔的部位。（C）錯在肺實質（肺組織本身）內局限化膿形成的是肺膿瘍，其位置在肺內，與膿胸位於肋膜腔明顯不同。","以「腔 vs 質」分辨：肋膜腔積液依性質分為漏出液、滲出液、膿胸（感染化膿）、血胸；肺實質內局限化膿為肺膿瘍。膿胸多繼發於肺炎旁積液（parapneumonic effusion）感染惡化，或胸部手術、外傷後。治療常需胸管引流甚至去皮術以排出濃稠膿液。記憶口訣：「膿在腔是膿胸，膿在肺是膿瘍」。連結概念：肋膜腔、肺炎旁積液、胸管引流、滲出液 Light 標準。",[24,26,29,31,33],{"term":17,"count":25},3,{"term":27,"count":28},"胸管引流",2,{"term":30,"count":10},"膿胸 empyema",{"term":32,"count":10},"肺炎旁積液",{"term":34,"count":10},"肺膿瘍鑑別",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-052","肺結核病人若無法遵從醫師所開立的醫囑規則服藥時之護理措施，下列何者最適當？",52,{"webId":41,"stem":42,"number":43,"year":9,"session":28},"nurse-108-2-medical-surgical-068","下列何種內分泌機能低下會造成黏液性水腫？",68,{"webId":45,"stem":46,"number":28,"year":47,"session":28},"nurse-109-2-medical-surgical-002","有關頭部外傷病人經手術取出顱內血腫並於腦室內放置顱內壓監測器（ICP monitoring device）之敘述，下列何者錯誤？",109,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-110-2-medical-surgical-040","有關瀕死病人護理的敘述，下列何者正確？①出現瀕死前的嘎嘎聲是因為喉嚨有痰，要給予抽痰 ②肛門附近周圍皮膚傷口可使用氧化鋅 ③要鼓勵病人進食，以增加舒適感 ④瀕死病人對刺激無反應時，其聽力也會喪失 ⑤意識不清病人宜採側臥，以利分泌物流出",40,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-medical-surgical-004","有關腦腫瘤病人術後發生尿崩症，下列敘述何者正確？",4,112,{"webId":59,"stem":60,"number":61,"year":57,"session":25},"nurse-112-3-medical-surgical-038","下列何者為細菌性肺炎病人必要的診斷檢查？①胸部電腦斷層 ②胸部 X 光攝影 ③肺功能檢查 ④痰液檢查",38,"2026-09-04",1788510709957]