[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-109-1-內外科護理學-018","nurse-109-1-medical-surgical-018",109,1,18,"有關脂肪栓塞症之症狀和徵象，下列何者正確？①呼吸急促 ②意識混亂 ③排尿增加 ④體溫上升",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點在於脂肪栓塞症候群（FES）的典型症狀辨識。長骨骨折後脂肪滴進入血流栓塞肺、腦與皮膚，典型三徵為呼吸窘迫、神經精神異常與皮膚點狀出血。故①呼吸急促（肺栓塞致低血氧）、②意識混亂（腦部脂肪栓塞）、④體溫上升（發炎反應致發燒）皆正確，組合為①②④，選B。③排尿增加為錯誤，脂肪栓塞常伴低血氧與休克傾向，並無利尿表現，反而可能因灌流不足使尿量減少。故正確組合排除③，答案為B。","FES好發於長骨（股骨）或骨盆骨折後24～72小時，機轉除機械性脂肪栓塞外，亦有游離脂肪酸對肺泡與血管內皮的化學性毒性，導致類ARDS表現。診斷可見低血氧、血小板下降、結膜與胸部瘀點。預防重點是早期骨折固定與制動。記憶三徵口訣：「呼吸喘、腦子亂、皮膚點」。",[24,27,29,31],{"term":25,"count":26},"脂肪栓塞症候群",4,{"term":28,"count":10},"長骨骨折併發症",{"term":30,"count":10},"呼吸窘迫低血氧",{"term":32,"count":10},"神經精神症狀與瘀點",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-019","王先生，55 歲，身體質量指數為 30 kg\u002Fm 2 ，紅血球沉降速率正常範圍，主訴早晨起來關節疼痛與僵硬，在活動幾分鐘後可緩解僵硬。下列何者為王先生最可能的診斷？",19,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-medical-surgical-035","王先生入院接受心導管檢查，此次檢查穿刺左側橈動脈，下列護理處置何者錯誤？",35,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-medical-surgical-049","有關心臟衰竭合併肺水腫病人之護理措施及其原理的敘述，下列何者正確？",49,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-medical-surgical-007","腦腫瘤病人使用類固醇（Decadron）治療的主要目的，下列何者正確？",7,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-medical-surgical-051","評估一位氣胸且剛接上胸管病人的胸腔水下引流系統裝置，下列何者為不正常現象？",51,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-medical-surgical-015","下列檢查結果，何者可診斷為糖尿病？",15,113,3,"2026-09-04",1788510712460]