[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-108-2-內外科護理學-055","nurse-108-2-medical-surgical-055",108,2,55,"右肺葉切除術後病人的姿勢擺位，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"左或右側臥","平躺或高坐臥","平躺或右側臥","左側臥或半坐臥","D",null,[],"本題考點在於肺葉切除(lobectomy)與全肺切除術後擺位原則的差異。肺葉切除保留同側其餘肺葉，術後採半坐臥可利用重力降低橫膈、增進剩餘肺葉擴張與氣體交換，並可搭配健側(左側)臥以促進患側殘餘肺復張，故選 D。選項 A 左或右側臥未限制方向，長時間完全患側臥會壓迫剩餘肺葉、妨礙擴張。選項 B 平躺或高坐臥中的純平躺不利分泌物引流與呼吸。選項 C 平躺或右側臥中的右側臥即患側臥，會壓迫欲擴張的殘餘肺葉，不適合肺葉切除者。故以半坐臥合併健側臥的 D 最適當。","對比記憶：全肺切除(pneumonectomy)採患側臥或半坐臥，避免縱膈擺動並保護健側唯一的肺；肺葉切除(lobectomy)則避免長時間完全患側臥，以利保留肺葉再擴張，可健側臥或半坐臥。共同點是半坐臥有助呼吸與引流。臨床判題抓「保留肺要擴張→少壓患側」。",[24,26,28,31,33],{"term":25,"count":10},"半坐臥",{"term":27,"count":10},"肺復張",{"term":29,"count":30},"肺葉切除術後擺位",1,{"term":32,"count":30},"健側臥",{"term":34,"count":30},"與全肺切除對比",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-medical-surgical-056","下列何者為支氣管擴張症最主要的病因？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-medical-surgical-072","有關執行胸外心臟按壓的敘述，下列何者正確？",72,109,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-110-1-medical-surgical-006","協助昏迷病人由側臥翻成平躺時，須注意下列那一個部位是否有壓傷形成？",6,110,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-111-1-medical-surgical-044","有關決定膚色的黑色素細胞主要分布在下列那一層？",44,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-medical-surgical-008","重症肌無力病人使用抗膽鹼酯酶藥物的護理指導，下列何者正確？①腹部絞痛可能為劑量不足徵象 ②鼓勵進食高蛋白食物預防副作用 ③血壓上升可能為劑量過量徵象 ④務必準時服藥因延遲服藥可能會喪失吞藥力量",8,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-medical-surgical-022","有關何杰金氏淋巴瘤的敘述，下列何者正確？",22,113,"2026-09-04",1788510706654]