[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-110-1-內外科護理學-032","nurse-110-1-medical-surgical-032",110,1,32,"有關心臟血管系統的診斷檢查結果，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"十二導程心電圖 II, III 及 aVF 出現 ST 上升，顯示心室前壁心肌梗塞","B 型排鈉利尿胜肽（BNP）＞100pg\u002FmL，表示心臟衰竭","肺動脈楔壓過高，代表主動脈阻力過高","高密度脂蛋白（HDL）偏高，容易罹患冠狀動脈疾病","B",null,[],"本題考點為心臟血管診斷檢查結果的判讀。考點在於 B 型排鈉利尿胜肽（BNP）由心室在容積負荷與壁張力增加時分泌，數值 >100 pg\u002FmL 支持心臟衰竭診斷，故 B 正確。A 錯在定位，II、III、aVF 導程反映的是下壁而非前壁心肌梗塞。C 錯在意義，肺動脈楔壓反映左心房與左心室舒張末壓（左心前負荷），而非主動脈阻力（後負荷）。D 錯在方向，高密度脂蛋白（HDL）為保護性膽固醇，數值偏高反而降低冠狀動脈疾病風險。","心電圖定位對照：下壁 II／III／aVF（右冠狀動脈）、前壁 V1～V4（左前降支）、側壁 I／aVL／V5～V6。BNP／NT-proBNP 是心衰竭的血液指標，隨心室壁張力上升而分泌，兼具診斷與預後價值。血脂記憶：HDL＝好膽固醇（愈高愈好）、LDL＝壞膽固醇（愈高愈糟）。肺動脈楔壓（PCWP）＝左心前負荷指標，用於區分心因性與非心因性肺水腫。",[24,27,30,32,34],{"term":25,"count":26},"心臟衰竭",7,{"term":28,"count":29},"肺動脈楔壓",2,{"term":31,"count":29},"高密度脂蛋白",{"term":33,"count":10},"B型排鈉利尿胜肽",{"term":35,"count":10},"心電圖導程定位",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-1-medical-surgical-033","有關心臟循環動力學的敘述，下列何者錯誤？",33,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-110-2-medical-surgical-049","下列何者為初級免疫反應最先合成的免疫球蛋白？",49,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-1-medical-surgical-063","張先生 50 歲，患有糖尿病腎病變，下列治療何項錯誤？",63,111,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-112-2-medical-surgical-021","有關急性鼻竇炎的處置，下列何者錯誤？",21,112,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-113-2-medical-surgical-045","有關胰島素的使用，下列何者錯誤？",45,113,{"webId":61,"stem":62,"number":63,"year":64,"session":65},"nurse-114-3-medical-surgical-039","有關急性腎盂腎炎之照護，下列敘述何者最適當？①紅血球沉降速率（ESR）數值會升高 ②症狀為無尿及貧血 ③鼓勵病人多攝取酸灰性食物如乾梅或蔓越莓 ④鼓勵病人每 4 小時排尿一次",39,114,3,"2026-09-04",1788510721062]