[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-052","nurse-109-1-medical-surgical-052",109,1,52,"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？",{"A":14,"B":15,"C":16,"D":17},"慢且深的呼吸型態，且疼痛持續存在","快且深的呼吸型態，且吐氣時疼痛感加劇","較淺的呼吸型態，且吸氣時疼痛感加劇","喟嘆式的呼吸型態，且飯後疼痛感加劇","C",null,[],"本題考點為肋骨骨折的呼吸型態表現。肋骨骨折後,吸氣時胸廓擴張會牽動骨折端使疼痛加劇,病人為避免疼痛而採取淺快、抑制性的呼吸型態,故C(較淺呼吸且吸氣時疼痛感加劇)正確。A慢且深的呼吸與骨折疼痛時病人自我保護的淺呼吸相反;B快且深且吐氣痛與吸氣牽動骨折的機轉不符;D喟嘆式呼吸與飯後疼痛屬非典型,與胸壁機械性受牽無病理對應,故最符合肋骨骨折徵候者為C。","肋骨骨折因胸廓活動誘發疼痛,病人淺快呼吸易致換氣不足、肺塌陷與續發肺炎,故疼痛控制反而是維持深呼吸的關鍵。多根多處骨折可致連枷胸(flail chest)呈「反常呼吸」——吸氣時傷處內凹。鑑別重點在「吸氣時疼痛」定位為胸壁機械性受牽。",[24,27,29,31],{"term":25,"count":26},"連枷胸",2,{"term":28,"count":10},"肋骨骨折",{"term":30,"count":10},"吸氣時疼痛加劇",{"term":32,"count":10},"淺快呼吸型態",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-053","有關急性呼吸窘迫症候群（ARDS）的處置，下列何者錯誤？",53,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-069","下列何種荷爾蒙分泌不足會導致黏液性水腫（myxedema）？",69,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-110-2-medical-surgical-003","腦下垂體腫瘤（pituitary tumor）病人出現雙顳側視野及視力變差，下列何者為其腫瘤壓迫部位？",3,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-041","長期攝取低纖維或精緻飲食，可能與下列何種癌症的發生最有關？",41,111,{"webId":53,"stem":54,"number":55,"year":56,"session":45},"nurse-112-3-medical-surgical-005","有關巴金森氏症病人的自我照顧指導，下列敘述何者錯誤？",5,112,{"webId":58,"stem":59,"number":60,"year":61,"session":45},"nurse-113-3-medical-surgical-049","下列何者不是骨折病人應該要密切觀察 6P 的徵象或症狀？",49,113,"2026-09-04",1788510712788]