[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-110-1-內外科護理學-025","nurse-110-1-medical-surgical-025",110,1,25,"有關急性中耳炎之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"外耳道會有過多的耳垢","鼓膜可能出現發亮的珍珠灰色","嚴重時，將導致傳導性聽力喪失","持續服用抗生素至發燒症狀緩解","C",null,[],"本題考點為急性中耳炎的病理表現與併發症。考點在於中耳腔積膿積液會阻礙聲音經聽小骨的機械傳導，嚴重時造成傳導性聽力喪失，選 C。A 錯在部位，耳垢過多屬外耳道問題，與中耳發炎無關。B 錯在鼓膜外觀，發亮的珍珠灰色是正常鼓膜的描述，急性中耳炎的鼓膜應呈發紅、膨出、失去光澤。D 錯在抗生素使用原則，須依醫囑服滿完整療程以徹底清除細菌，不可一退燒即停藥，否則易復發或產生抗藥性。","聽力喪失兩型對比：傳導性（外耳、中耳問題，如耵聹栓塞、中耳積液、聽小骨異常）與感音神經性（耳蝸或聽神經受損）。急性中耳炎多見於幼兒，因耳咽管較短平使鼻咽細菌易上行。正常鼓膜：珍珠灰、半透明、可見光錐反射；發炎時充血膨出、光錐消失。記憶：中耳＝傳導路徑，塞住就傳不過去→傳導性聽損。抗生素療程通常 7～10 天須服滿。",[24,27,30,32,34],{"term":25,"count":26},"耳咽管",3,{"term":28,"count":29},"急性中耳炎",2,{"term":31,"count":29},"抗生素療程",{"term":33,"count":10},"傳導性聽力喪失",{"term":35,"count":10},"鼓膜",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-026","有關心肌病變（cardiomyopathy）的敘述，下列何者正確？",26,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-110-2-medical-surgical-042","有關癌症病人感染問題的敘述，下列何者錯誤？",42,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-056","照護右上肺葉肺炎病人之護理措施，下列何者不適當？",56,111,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-2-medical-surgical-014","有關病毒性肝炎傳染途徑之敘述，下列何者錯誤？",14,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-113-2-medical-surgical-038","有關全髖關節置換術術後病人之陳述，下列何者顯示需要進一步的護理指導？",38,113,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-114-3-medical-surgical-032","60 歲病人，右胸疼痛、發燒、呼吸喘，且咳嗽有大量黃綠色痰液，診斷右肺大葉性肺炎入院。下列何者為其最可能出現的身體評估檢查結果？①右胸觸覺震顫感增強 ②叩診右胸為過度反響音 ③聽診右胸出現喘鳴音 ④右胸支氣管語音字音響亮清楚",32,114,"2026-09-04",1788510720970]