[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-108-1-內外科護理學-054","nurse-108-1-medical-surgical-054",108,1,54,"針對左側氣胸病人之患側胸部評估，下列何者為最可能之發現？",{"A":14,"B":15,"C":16,"D":17},"扣診濁音","觸診有觸覺震顫","聽診有濕囉音","聽診呼吸音消失","D",null,[],"本題考點在於氣胸患側的身體評估發現。氣胸時空氣積聚於肋膜腔、肺塌陷，該側肺泡無氣體交換且氣流不進入，故聽診呼吸音減弱或消失，選 D。（A）錯在氣體含量增加，扣診應為過度反響（鼓音）而非濁音；濁音見於積液或實質化。（B）錯在空氣為不良傳導介質，觸覺震顫應減弱或消失，而非增強。（C）錯在濕囉音代表肺泡或小氣道內有液體（如肺水腫、肺炎），氣胸為積氣非積液，不會出現濕囉音。","氣胸四大理學徵象口訣：「音消、顫弱、叩鼓、氣管移」。空氣使聲音傳導變差故呼吸音與語音震顫減弱、叩診呈過度反響；張力性氣胸更會把氣管與縱膈推向健側、頸靜脈怒張、血壓下降。對照積液（血胸／肋膜積液）：叩診濁音、震顫減弱、呼吸音減弱。連結概念：張力性氣胸、氣管偏移、過度反響音、肋膜腔。",[24,27,29,32,34],{"term":25,"count":26},"氣胸",3,{"term":28,"count":26},"觸覺震顫減弱",{"term":30,"count":31},"呼吸音消失",2,{"term":33,"count":31},"肋膜腔積氣",{"term":35,"count":10},"叩診過度反響",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-055","觀察到胸腔水下引流的水封瓶內持續有小量氣泡時之處置，下列何者正確？",55,{"webId":42,"stem":43,"number":44,"year":9,"session":31},"nurse-108-2-medical-surgical-071","有關副甲狀腺機能亢進病人之護理指導，下列何者正確？",71,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-109-2-medical-surgical-005","檢查時用手壓病人中指的遠心端，然後迅速彈開，病人會有大拇指的屈曲運動，此種現象稱為？",5,109,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-110-2-medical-surgical-043","有關席林試驗可協助診斷的貧血類別，下列何者正確？",43,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-1-medical-surgical-007","進行意識評估，病人無法自動睜眼，叫喚才會睜開眼睛，人、地定向感清楚，但時間回答錯誤，能遵照指示做出正確的動作，其 GCS 昏迷量表，下列何者正確？",7,112,{"webId":61,"stem":62,"number":63,"year":59,"session":26},"nurse-112-3-medical-surgical-041","腎衰竭病人的飲食護理指導，下列敘述何者正確？",41,"2026-09-04",1788510709993]