[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-內外科護理學-010","nurse-108-2-medical-surgical-010",108,2,10,"有關小腸阻塞的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"便秘","晚期才出現腹脹","嘔吐頻率增加","腸音增加","C",null,[],"本題考點是小腸阻塞的臨床表徵。依小腸阻塞時內容物無法通過，近端腸道逆流刺激，會出現頻繁且早發的嘔吐，故選 C。選項 A「便秘」較屬大腸阻塞的表現，小腸阻塞早期仍可能排出遠端殘留糞便；選項 B「晚期才出現腹脹」錯誤，方向相反——大腸阻塞才腹脹明顯且較晚，小腸阻塞嘔吐早、腹脹相對不顯著或視位置而定，此敘述不符小腸阻塞特徵；選項 D「腸音增加」在阻塞早期為機械性亢進的高音金屬音，但隨阻塞進展腸音會減弱消失，作為典型表徵不如頻繁嘔吐貼切。考點在於辨識小腸阻塞以早發頻繁嘔吐為特徵。","腸阻塞位置決定症狀樣貌：高位（小腸）阻塞——嘔吐早且頻繁、腹脹輕、脫水與電解質不平衡快（吐掉大量消化液致代謝性鹼中毒）；低位（大腸）阻塞——嘔吐晚、腹脹明顯、便秘早。腸音初期因蠕動對抗阻塞而亢進（高頻金屬音），後期麻痺則消失。記憶口訣：位置越高吐越早，位置越低脹越明顯。可連結機械性腸阻塞的四大症狀（腹絞痛、嘔吐、腹脹、無法排便排氣）與嘔吐大量胃液所致的低血鉀、低血氯代謝性鹼中毒。",[24,27,29,31],{"term":25,"count":26},"小腸阻塞",1,{"term":28,"count":26},"早發頻繁嘔吐",{"term":30,"count":26},"高位低位阻塞對比",{"term":32,"count":26},"腸音變化",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-011","病人抽出腹水 1,500 mL 後，可能出現下列何種徵象？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-medical-surgical-027","有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",27,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-041","胃癌的發生可能與下列何種病毒或細菌感染有關？",41,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-medical-surgical-079","有關急救藥物主要治療效果的敘述，下列何者錯誤？",79,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-1-medical-surgical-043","護理之家發生火災，許多住民吸入性灼傷，下列緊急處置，何者正確？",43,112,{"webId":58,"stem":59,"number":41,"year":60,"session":26},"nurse-113-1-medical-surgical-027","葉女士手部遭魚刺刺傷，出現局部發紅、化膿的炎症反應，診斷為蜂窩性組織炎，下列護理措施何者正確？",113,"2026-09-04",1788510706261]