[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-109-2-內外科護理學-053","nurse-109-2-medical-surgical-053",109,2,53,"有關張力性氣胸（tension pneumothorax）的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"吐氣時出現喘鳴音","單側呼吸音減弱","單側肋膜積水","吸氣時單側不正常下陷","B",null,[],"本題考點是張力性氣胸（tension pneumothorax）的臨床表徵。考點在於辨識氣體單向進入肋膜腔卻無法排出、患側肺塌陷，故患側呼吸音明顯減弱或消失，選B。A吐氣時喘鳴音是下呼吸道阻塞（如氣喘）的特徵，非氣胸表現。C單側肋膜積水描述的是血胸或胸腔積液，張力性氣胸積聚的是「氣體」而非液體。D吸氣時單側胸壁不正常下陷是連枷胸（多發肋骨骨折）的奇異性呼吸，非氣胸。張力性氣胸另有氣管向健側偏移、頸靜脈怒張、患側叩診過度反響音等，故正確表徵為B單側呼吸音減弱。","張力性氣胸病生理：破口形成活瓣，吸氣進氣、吐氣不出，胸腔內壓漸升壓迫縱膈，將氣管與心臟推向健側，使靜脈回流受阻→心輸出下降→阻塞性休克，屬急症。典型四徵：患側呼吸音消失、叩診過度反響、氣管偏向健側、頸靜脈怒張加低血壓。急救為患側第二肋間鎖骨中線緊急針刺減壓，再放置胸管。記憶：「進得去出不來、把心臟往對側推」。與血胸（叩診濁音）成對比。",[24,27,29,32],{"term":25,"count":26},"張力性氣胸",4,{"term":28,"count":26},"氣管偏移",{"term":30,"count":31},"患側呼吸音減弱",3,{"term":33,"count":31},"阻塞性休克",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-054","有關呼吸器出現壓力過低警示（low pressure alarm）之處理，下列何者最適當？",54,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-110-1-medical-surgical-070","有關糖尿病病人產生腎臟病變之敘述，下列何者正確？",70,110,1,{"webId":46,"stem":47,"number":26,"year":48,"session":44},"nurse-111-1-medical-surgical-004","「走失」是阿茲海默氏症（Alzheimer’s Disease）病人，那一期重要臨床表徵？",111,{"webId":50,"stem":51,"number":52,"year":53,"session":44},"nurse-112-1-medical-surgical-042","下列那一類白血病的預後最好？",42,112,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-113-1-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",36,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-medical-surgical-030","有關全身性紅斑性狼瘡之護理處置，下列何者不適當？",30,114,"2026-09-04",1788510716778]