[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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-028","nurse-108-2-medical-surgical-028",108,2,28,"評估脈搏強度時，發現「很難摸得到，脈搏明顯的減弱」，下列紀錄何者正確？",{"A":14,"B":15,"C":16,"D":17},"0","1＋","2＋","3＋","B",null,[],"本題考點是周邊脈搏強度的分級紀錄法。依常用 0～4+ 脈搏評分,1+ 代表脈搏微弱、很難摸到、易被壓閉,正符合題幹「很難摸得到、明顯減弱」,故選 B。A 的 0 代表完全摸不到脈搏(無脈),與「摸得到但很弱」不同。C 的 2+ 代表正常、易觸得的脈搏,強度屬正常範圍。D 的 3+ 代表脈搏增強、飽滿,屬偏強。題幹描述為減弱而非消失或增強,故對應 1+。考點在於區分「摸不到(0)」與「摸到但弱(1+)」的界線。","量表記憶:0=無脈、1+=微弱難觸(thready)、2+=正常、3+=增強飽滿、4+=洪脈(bounding,壓不消失)。脈搏微弱常見於低心輸出、休克、周邊動脈阻塞;洪脈見於發燒、甲狀腺亢進、主動脈瓣逆流。評估時應兩側對稱比較並註記部位。可連結:周邊灌流評估、脈搏對稱性、心輸出量、微血管填充時間。",[24,27,29],{"term":25,"count":26},"脈搏強度 0-4+ 分級",1,{"term":28,"count":26},"1+ 微弱脈",{"term":30,"count":26},"周邊灌流評估",[32,36,41,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-108-2-medical-surgical-029","有關骨掃描的敘述，下列何者正確？",29,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-109-1-medical-surgical-045","一位 30 歲女性主訴最近出現皮膚對光敏感、對稱性關節疼痛、口腔潰瘍，另補體 C 3 及 C 4 減少、抗核抗體（ANA）呈現陽性、紅血球沉降速率（ESR）明顯上升、血小板減少，下列何者為其最可能之診斷？",45,109,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-109-2-medical-surgical-059","下列何種疾病會出現奇異性呼吸（paradoxical respiration）？",59,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-111-1-medical-surgical-017","有關心口灼熱（Heart Burn）的敘述，下列何者錯誤？",17,111,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-112-1-medical-surgical-061","有關壓力性尿失禁之敘述，下列何者錯誤？",61,112,{"webId":56,"stem":57,"number":39,"year":58,"session":26},"nurse-113-1-medical-surgical-045","張太太，罹患糖尿病2年，平日使用口服抗血糖藥物控制血糖，今日在家昏倒被送至急診，醫師初步診斷為高滲透壓高血糖狀態（HHS），病人會呈現的徵象，下列何者正確？①呼吸速率26次／分 ②血壓166\u002F84 mmHg ③尿酮呈陽性反應，明顯升高 ④血糖為750 mg\u002FdL。",113,"2026-09-04",1788510706425]