[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-079","nurse-109-1-medical-surgical-079",109,1,79,"當支氣管擴張症病人出現下列何種狀況需盡速就醫？",{"A":14,"B":15,"C":16,"D":17},"天氣炎熱痰液變得較黏稠","痰液明顯出現血絲或血塊","進食大餐後呼吸變得較喘","痰液出現分層現象","B",null,[],"本題考點在於支氣管擴張症病人須警覺的惡化與併發症徵象。支氣管擴張因支氣管壁結構破壞、血管增生變脆，最危險的併發症是大量咳血；當痰液明顯出現血絲或血塊，代表支氣管血管破裂出血，有窒息與失血風險，須盡速就醫，選 B。A 天氣炎熱痰液變黏稠可透過補充水分改善，非急症，故錯。C 進食大餐後橫膈上抬致呼吸較喘屬暫時性，非危險徵象，故錯。D 痰液分層（泡沫、黏液、膿性三層）是支氣管擴張的典型長期特徵，屬疾病常態而非新惡化警訊，故錯。判讀重點在辨識咳血為需即刻處置的危險徵象。","支氣管擴張症（bronchiectasis）因反覆感染使支氣管永久擴張、纖毛清除功能喪失，痰液滯留易再感染。痰分三層是經典描述。咳血源於擴張處支氣管動脈（屬體循環高壓系統）破裂，可能大量致命。與肺結核咳血機轉類似但成因不同。衛教重點在辨識咳血、發燒、痰量驟增等惡化訊號。",[24,27,29,31,33],{"term":25,"count":26},"支氣管擴張症",4,{"term":28,"count":10},"咳血",{"term":30,"count":10},"支氣管動脈",{"term":32,"count":10},"痰液分層",{"term":34,"count":10},"併發症辨識",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-medical-surgical-080","病人因腰椎椎間盤突出接受手術治療，術後依醫囑需穿硬背架 3 個月，下列敘述何者錯誤？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-110-1-medical-surgical-016","有關膽道疾病手術後放置 T 型管的護理措施，下列何者錯誤？",16,110,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-110-2-medical-surgical-030","有關心電圖的敘述，下列何者錯誤？",30,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-111-2-medical-surgical-068","有關甲狀腺風暴的敘述，下列何者錯誤？",68,111,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-112-3-medical-surgical-032","有關器官移植後的護理指導，下列何者錯誤？",32,112,3,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-114-1-medical-surgical-026","有關致癌因子及其相關癌症的敘述，下列何者需進一步提供護理指導以澄清誤解？",26,114,"2026-09-04",1788510713015]