[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-055","nurse-108-1-medical-surgical-055",108,1,55,"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？",{"A":14,"B":15,"C":16,"D":17},"持續觀察，這是正常的現象","檢查引流裝置各部位的連接是否密合","減少抽吸壓力至 15 cm H 2 O 並持續觀察","將水封瓶內的水倒掉一半","B",null,[],"本題考點在於胸腔水下引流水封瓶持續冒小氣泡的判讀與處置。水封瓶內持續冒泡代表系統中有空氣進入，最常見是管路連接處鬆脫或漏氣，故應先檢查引流裝置各接頭是否密合，選 B。（A）錯在持續冒泡非正常現象；正常水封應僅隨呼吸波動（tidaling）或咳嗽時偶發氣泡。（C）錯在漏氣未排除前調降抽吸壓力無法解決漏氣來源，反可能影響引流效能。（D）錯在倒掉水封瓶內的水會破壞水封液面、使空氣逆流入肋膜腔，屬危險錯誤操作。","判斷漏氣來源的系統性做法：由病人端往機器端逐段暫夾管，夾到某段後氣泡消失即漏氣點在其遠端；若夾近胸壁時仍冒泡則可能為肺部本身漏氣（支氣管肋膜瘻管）。區分「持續冒泡＝漏氣」與「隨呼吸波動 tidaling＝正常且代表管路通暢」是關鍵。水封液面須維持約 2 公分以形成單向閥。連結概念：水封單向閥、氣體波動 tidaling、支氣管肋膜瘻管、負壓抽吸。",[24,27,29,31,33],{"term":25,"count":26},"胸腔水下引流",3,{"term":28,"count":10},"水封瓶持續冒泡",{"term":30,"count":10},"管路漏氣",{"term":32,"count":10},"水封單向閥",{"term":34,"count":10},"氣體波動 tidaling",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-056","有關呼吸性酸中毒之敘述，下列何者正確？",56,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-108-2-medical-surgical-072","有關代謝性酸中毒的症狀，下列何者正確？",72,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-109-2-medical-surgical-006","腦中風病人使用 Aspirin 100 mg 1# P. O. Q. D.治療的目的，下列何者正確？",6,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-medical-surgical-044","下列何者不是皮膚過敏試驗？",44,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-1-medical-surgical-008","有關中風病人臥床姿勢擺位之護理措施，下列何者錯誤？",8,112,{"webId":61,"stem":62,"number":63,"year":59,"session":26},"nurse-112-3-medical-surgical-042","有關腎臟移植發生排斥時的主要處置，下列敘述何者錯誤？",42,"2026-09-04",1788510709997]