[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-108-2-內外科護理學-032","nurse-108-2-medical-surgical-032",108,2,32,"有關上腔靜脈症候群之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常見原因是淋巴結腫大壓迫，影響血液回流","臨床症狀在晚上最為明顯","體外放射線照射是最常用的治療方式","呼吸困難時宜採半坐臥","B",null,[],"本題考點是上腔靜脈症候群(SVC syndrome)的成因、症狀與處置,找出錯誤者。依病生理,上腔靜脈受壓致頭頸與上肢回流受阻,症狀在「早晨或平躺後」最明顯,因夜間平躺使靜脈回流更受阻、臉頸腫脹加劇,故 B 稱「晚上最明顯」為錯誤,選 B。A 常見原因為縱膈腫瘤或淋巴結腫大壓迫上腔靜脈,正確。C 對放射敏感的腫瘤(如肺癌、淋巴瘤)常以體外放射線照射為主要治療,正確。D 呼吸困難時採半坐臥可降低靜脈回流、減輕頭頸鬱血與呼吸窘迫,正確。考點在於辨識姿位與時間對靜脈鬱血的影響。","典型表現:臉、頸、上肢水腫,頸靜脈與胸壁側枝靜脈怒張,結膜水腫,平躺或彎腰時加重、晨起最明顯。處置以抬高床頭、放射治療或化療縮小腫瘤為主,屬腫瘤急症之一。可連結:縱膈腫瘤、頸靜脈怒張、側枝循環、腫瘤急症、放射治療適應症。",[24,27,29,32],{"term":25,"count":26},"腫瘤急症",3,{"term":28,"count":10},"上腔靜脈症候群",{"term":30,"count":31},"靜脈回流受阻",1,{"term":33,"count":31},"半坐臥降回流",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-033","下列何者是瀕死病人最後消失的知覺？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-medical-surgical-049","有關氣喘病人使用糖皮質類固醇吸入劑（glucocorticoid inhaled medication）之護理指導，下列何者正確？",49,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-063","有關腎病症候群病人之診斷性檢查之典型發現，下列何者正確？①血尿 ②菌尿 ③蛋白尿 ④血清白蛋白濃度下降 ⑤血糖上升 ⑥血清膽固醇上升 ⑦血清三酸甘油酯上升 ⑧血清鈣上升",63,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-1-medical-surgical-021","有關骨折的癒合過程，下列順序何者正確？①血腫形成期 ②骨化期 ③細胞增生期 ④重塑期 ⑤骨痂形成期",21,111,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-medical-surgical-065","有關輸尿管結石常見之臨床症狀，下列何者錯誤？",65,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-medical-surgical-049","有關自動體外電擊去顫器（AED）操作，下列敘述何者錯誤？",113,"2026-09-04",1788510706456]