[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-058","nurse-109-2-medical-surgical-058",109,2,58,"李同學在打籃球時突然感到左胸尖銳疼痛到急診求治，護理師視診發現李同學的左側胸部起伏較小，且氣管偏向右側，聽診發現左側肺部呼吸音減弱、叩診左側肺部出現過度反響音，此時李同學最可能發生下列何種情形？",{"A":14,"B":15,"C":16,"D":17},"槤枷胸","氣胸","肺炎","肺栓塞","B",null,[],"本題考點是自發性氣胸的典型評估表現辨識。考點在於辨識年輕人運動時突發單側尖銳胸痛，合併患側胸廓起伏減小、氣管偏向對側、患側呼吸音減弱、叩診呈過度反響音，這組合正是氣胸——空氣進入肋膜腔使患側肺塌陷、含氣量增多，故選B。A連枷胸源於多發肋骨骨折外傷，表現為胸壁反常下陷（奇異呼吸），非本情境。C肺炎因肺實質實變，叩診應為濁音而非過度反響，且無氣管偏移。D肺栓塞以突發呼吸困難與胸痛為主，但不會有患側過度反響音與氣管偏移。故最符合者為B氣胸。","原發性自發性氣胸好發於高瘦體型年輕男性，因肺尖胸膜下小氣泡（bleb）破裂，運動或用力時誘發。理學檢查四要點：患側呼吸音減弱／消失、叩診過度反響（因積氣）、觸覺語音震顫減弱、嚴重時氣管偏向健側。與肺炎（濁音、囉音）、肋膜積水（濁音）對比記憶。診斷以胸部X光確認肺塌陷線，處置依大小採觀察、抽氣或胸管引流。記憶：「叩診敲出空空聲（過度反響）＝裡面是氣」。",[24,27,30,32],{"term":25,"count":26},"氣管偏移",4,{"term":28,"count":29},"叩診過度反響音",3,{"term":31,"count":29},"患側呼吸音減弱",{"term":33,"count":10},"自發性氣胸",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-059","下列何種疾病會出現奇異性呼吸（paradoxical respiration）？",59,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-110-1-medical-surgical-075","承上題，下列處置何者錯誤？",75,110,1,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-111-1-medical-surgical-009","有關腸阻塞的臨床表徵，下列何者正確？①嘔吐 ②腹脹 ③腹部絞痛 ④腹瀉",9,111,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-112-1-medical-surgical-047","有關細胞毒殺過敏反應之敘述，下列何者錯誤？",47,112,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-113-1-medical-surgical-041","有關良性前列腺肥大（BPH）之敘述，下列何者錯誤？",41,113,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-2-medical-surgical-035","以脈搏血氧測量儀（pulse oximetry）所測得的數值，下列何者表示組織氧合（oxygenation）正常？",35,114,"2026-09-04",1788510716818]