[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-050","nurse-108-2-medical-surgical-050",108,2,50,"評估右下肺葉時叩診出現濁音及聽診時呼吸音減弱，胸部 X 光檢查結果右側肋膜橫膈角呈鈍角，下列何者為病人最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"右下肺葉肺炎","右側氣胸","右側肋膜積水","右下肺葉腫瘤","C",null,[],"本題考點是以身體評估與胸部 X 光辨識肋膜積水(pleural effusion)。依理學檢查,積液使肺實質被液體取代,叩診呈濁音、聽診呼吸音減弱,且 X 光顯示患側肋膜橫膈角(costophrenic angle)變鈍——這正是肋膜積水的典型影像,故選 C。A 右下肺葉肺炎叩診雖也濁音,但常有支氣管呼吸音、囉音與實質浸潤影像,且肋膜橫膈角不一定變鈍。B 右側氣胸叩診應為過度反響音、患側呼吸音消失、X 光見肺紋消失與塌陷,與濁音不符。D 肺腫瘤多為局部腫塊影,不以肋膜橫膈角變鈍為特徵。","對比記憶:積液\u002F實質化→叩診濁音;氣胸\u002F氣腫→叩診過度反響(鼓音)。肋膜橫膈角變鈍是肋膜積水最經典的 X 光徵象,直立 X 光約需 200～300 mL 以上積液才明顯。診斷性胸腔穿刺可辨別滲出液或漏出液(Light's criteria)。可連結:肋膜積水、叩診濁音、costophrenic angle、氣胸過度反響音、胸腔穿刺。",[24,27,29,31],{"term":25,"count":26},"肋膜積水",1,{"term":28,"count":26},"叩診濁音與呼吸音減弱",{"term":30,"count":26},"肋膜橫膈角變鈍",{"term":32,"count":26},"氣胸過度反響對比",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-051","肺栓塞病人於血栓形成後 72 小時內，可給與下列何種藥物以快速溶解血塊？",51,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-109-1-medical-surgical-067","有關糖尿病的藥物治療之敘述，下列何者正確？",67,109,{"webId":44,"stem":45,"number":26,"year":46,"session":26},"nurse-110-1-medical-surgical-001","有關重積性癲癇的敘述，下列何者正確？",110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-medical-surgical-039","有關化學治療藥物作用機轉與副作用之敘述，下列何者錯誤？",39,111,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-2-medical-surgical-003","有關糖尿病病人運動之護理指導，下列何者正確？①運動可降低細胞對胰島素的敏感性而降低血糖 ②運動最好在飯後 1～2 小時做 ③運動型態建議使用大肌肉群的有氧運動 ④切勿注射完胰島素後立刻運動，以免發生高血糖現象",3,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-medical-surgical-017","有關心包填塞之臨床表徵，下列何者錯誤？",17,113,"2026-09-04",1788510706606]