[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-050","nurse-109-1-medical-surgical-050",109,1,50,"當肺炎病人出現呼吸道清除功能失效與分泌物增加，且無法進行有效性咳嗽。下列護理措施何者最能促進其清除痰液？",{"A":14,"B":15,"C":16,"D":17},"鼓勵病人採胸式呼吸","鼓勵病人增加飲水量","教導病人用噘嘴式呼吸","協助病人採半坐臥式","B",null,[],"本題考點為痰液清除的護理措施。當呼吸道分泌物增加且咳痰無力時,增加水分攝取可稀釋痰液、降低黏稠度,使痰更易鬆動咳出,是促進呼吸道清除最直接有效的方式,故選B。A胸式呼吸無助於深部肺葉擴張與排痰,深呼吸應採腹式;C噘嘴式呼吸主要延長吐氣、防止呼吸道塌陷,用於控制呼吸而非直接排痰;D半坐臥式雖利於橫膈下降與呼吸舒適,但對稀釋與移動分泌物的幫助不如補充水分直接,故最能促進清除痰液者為B。","痰液黏稠度受水合狀態影響大,足夠水分(無禁忌下)是最基本的化痰措施,可搭配蒸氣吸入、胸腔物理治療(叩擊、姿位引流)增強效果。噘嘴式呼吸解決的是氣道塌陷與二氧化碳滯留;半坐臥改善的是通氣與橫膈下降,三者作用機轉不同,勿混為排痰。",[24,27,29,31],{"term":25,"count":26},"呼吸道清除功能失效",3,{"term":28,"count":10},"增加水分攝取稀釋痰液",{"term":30,"count":10},"胸腔物理治療",{"term":32,"count":10},"分泌物黏稠度",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-051","有關慢性阻塞性肺疾病（COPD）的病人使用噘嘴式呼吸的目的，下列何者正確？",51,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-medical-surgical-067","關於持續可攜帶式腹膜透析（CAPD）與血液透析（HD）治療的比較，下列何者正確？",67,2,{"webId":44,"stem":45,"number":10,"year":46,"session":42},"nurse-110-2-medical-surgical-001","有關前窩顱底骨折的敘述，下列何者正確？",110,{"webId":48,"stem":49,"number":50,"year":51,"session":42},"nurse-111-2-medical-surgical-039","有關補充鐵劑的敘述，下列何者正確？",39,111,{"webId":53,"stem":54,"number":26,"year":55,"session":26},"nurse-112-3-medical-surgical-003","額葉腦瘤病人，最可能出現下列何項臨床表徵？",112,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-113-3-medical-surgical-047","有關敗血性休克導致的系統性炎性反應症候群（SIRS）其診斷的四個條件中，需含二項或以上，下列條件何者正確？①體溫大於 38℃或小於 36℃ ②心跳小於 60 次／分 ③呼吸速率大於 20 次／分，或 PaCO 2 小於 40 mmHg ④白血球大於 12000\u002FuL 或小於 4000\u002FuL",47,113,"2026-09-04",1788510712775]