[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-1-內外科護理學-051","nurse-109-1-medical-surgical-051",109,1,51,"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？",{"A":14,"B":15,"C":16,"D":17},"減少二氧化碳滯留在肺部","促進痰液排除","降低呼吸道的壓力","增加橫膈的肌肉力量","A",null,[],"本題考點為COPD病人噘嘴式呼吸(pursed-lip breathing)的目的。COPD因小氣道彈性回縮力喪失,吐氣時氣道易塌陷造成氣體滯積與二氧化碳堆積;噘嘴吐氣可在氣道內產生反壓、維持氣道張開、延長吐氣時間,使滯留的二氧化碳更完全排出,故目的為減少二氧化碳滯留在肺部,選A。B排痰須靠咳嗽與姿位引流,非噘嘴呼吸;C噘嘴呼吸是提高而非降低吐氣時氣道內壓以撐開氣道;D其不涉及增加橫膈肌力,故正確者為A。","噘嘴式呼吸原理:在氣道遠端製造正向背壓(類似生理性PEEP),對抗COPD吐氣時的動態氣道塌陷,減少空氣捕捉(air trapping)與過度充氣。口訣「鼻吸2秒、噘嘴吐4秒」延長吐氣比。可對比腹式呼吸目的在增進橫膈效率,兩者常合併衛教。",[24,27,30,32],{"term":25,"count":26},"二氧化碳滯留",4,{"term":28,"count":29},"慢性阻塞性肺疾病",3,{"term":31,"count":29},"噘嘴式呼吸",{"term":33,"count":10},"動態氣道塌陷",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-052","外傷性肋骨骨折病人可能出現之徵候與症狀，下列何者正確？",52,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-068","有關庫欣氏症候群症狀（Cushing’s syndrome）之病理機轉，下列何者正確？",68,2,{"webId":45,"stem":46,"number":43,"year":47,"session":43},"nurse-110-2-medical-surgical-002","有關 S2～S4 完全性脊髓損傷後排尿功能之敘述，下列何者正確？",110,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-111-2-medical-surgical-040","林先生在輸血過程中出現頭痛、咳嗽、呼吸困難、心跳加快及血壓升高等情形，最有可能是出現下列那一種輸血反應？",40,111,{"webId":54,"stem":55,"number":26,"year":56,"session":29},"nurse-112-3-medical-surgical-004","有關病人脊椎手術後 48 小時內的護理措施，下列敘述何者錯誤？",112,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-113-3-medical-surgical-048","李先生用餐時，突然發生激烈咳嗽及呼吸困難，並伴有「咻」、「咻」喘氣聲，下列何者最為可能？",48,113,"2026-09-04",1788510712784]