[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-021":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-110-1-內外科護理學-021","nurse-110-1-medical-surgical-021",110,1,21,"下列何者為費林氏測驗（Phalen’s test）陽性反應的描述？",{"A":14,"B":15,"C":16,"D":17},"雙手維持手腕掌側屈曲、手背相對 60 秒，手指感到麻木","敲擊正中神經，手指感到刺痛、麻木感","緊握足踝做內旋，再慢慢伸直，無法伸直膝關節","手握腳底做內外旋動作，聽到關節內有聲響","A",null,[],"本題考點為腕隧道症候群(carpal tunnel syndrome)的理學檢查——費林氏測驗(Phalen's test)的操作與陽性判讀。依測驗方法,請病人雙手腕掌側屈曲、手背相對約 60 秒,若正中神經受壓則手指(拇、食、中指)麻木刺痛即為陽性,故選 A。選項 B 描述的是 Tinel's sign(叩擊正中神經誘發刺痛),屬另一種腕隧道測試;選項 C 描述膝關節操作,與腕部正中神經無關;選項 D 手握腳底內外旋聽聲響屬足踝檢查,亦與腕隧道無關。","腕隧道兩大理學測試對照:Phalen's=『手背相對、腕屈曲 60 秒』誘發正中神經分布區麻木;Tinel's=『叩擊腕部正中神經』誘發觸電樣刺痛。兩者皆使腕隧道內壓升高或直接刺激受壓的正中神經。症狀分布於拇、食、中指及無名指橈側,夜間加劇、甩手可緩解。把兩個測試的動作記清楚是本題唯一關卡。",[24,27,30,32],{"term":25,"count":26},"腕隧道症候群",5,{"term":28,"count":29},"正中神經受壓",2,{"term":31,"count":10},"Phalen's test",{"term":33,"count":10},"Tinel's sign 對比",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-022","為了避免白內障手術病人植入之水晶體移位，返家後活動限制的護理指導，下列何者錯誤？",22,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-medical-surgical-038","有關何杰金氏淋巴瘤的敘述，下列何者錯誤？",38,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-medical-surgical-052","有關使用呼氣末期陽壓（PEEP）治療急性呼吸窘迫症候群的主要目的，下列何者正確？",52,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-medical-surgical-010","李先生因胃癌接受次全胃切除手術（Billroth II），術後開始進食稀飯，約 20 分鐘出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",10,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-medical-surgical-034","王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",34,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-medical-surgical-028","有關皮膚和傷口照護原則，下列敘述何者最不適當？",28,114,3,"2026-09-04",1788510720916]