[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-109-1-內外科護理學-030","nurse-109-1-medical-surgical-030",109,1,30,"有關二尖瓣閉鎖不全或逆流所產生之心雜音，在心動周期出現的時間，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"舒張全期","舒張前期","收縮全期","收縮末期","C",null,[],"本題考點在於二尖瓣閉鎖不全（逆流）的心雜音時相。二尖瓣在心室收縮期應緊閉；閉鎖不全時收縮期血液由左心室逆流回左心房，故雜音出現於整個收縮期，屬「收縮全期雜音（holosystolic\u002Fpansystolic murmur）」，選C。選項A舒張全期與選項B舒張前期屬舒張期雜音，見於二尖瓣狹窄或主動脈瓣逆流，時相不符；選項D收縮末期雜音典型見於二尖瓣脫垂，與閉鎖不全的全收縮期性質不同。故二尖瓣逆流為收縮全期雜音，最佳聽診於心尖並傳向左腋下。","瓣膜雜音時相判讀關鍵：房室瓣（二尖瓣、三尖瓣）逆流與半月瓣狹窄在收縮期；房室瓣狹窄與半月瓣逆流在舒張期。二尖瓣逆流為全收縮期高調吹風樣雜音，向左腋下傳導。對比二尖瓣狹窄為舒張中晚期隆隆樣雜音伴開瓣音。記憶法可用時相與血流方向推導，不必死背。",[24,26,28,30],{"term":25,"count":10},"二尖瓣閉鎖不全",{"term":27,"count":10},"收縮全期雜音",{"term":29,"count":10},"房室瓣逆流時相",{"term":31,"count":10},"心尖傳向左腋下",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-031","下列血脂肪之檢驗值何者不正常？",31,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-047","有關遲發型過敏反應之敘述，下列何者錯誤？",47,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-061","有關血液透析（HD）與持續可攜帶式腹膜透析（CAPD）治療的敘述，下列何者錯誤？",61,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-019","王先生接受右側全髖關節置換術後出現胸痛、呼吸短促、皮膚蒼白、冰冷。下列何者是王先生最可能產生的術後合併症？",19,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-063","有關急迫性尿失禁之照護，下列敘述何者正確？①可給予副交感神經藥物 ②指導膀胱訓練法 ③指導病人使用尿失禁輔助用品如護墊或尿布 ④施行人工尿道括約肌植入術",63,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-027","有關燒傷病人輔助使用高壓氧治療之作用，下列何者最適宜？",27,113,3,"2026-09-04",1788510712581]