[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-052","nurse-110-1-medical-surgical-052",110,1,52,"車禍外傷病人出現胸部右側聽不到呼吸音，且氣管向左側偏移，下列處置何者最適當？",{"A":14,"B":15,"C":16,"D":17},"準備抽血進行血液培養（blood culture）","準備心肺復甦術（CPR）並請其他人通知醫師","準備胸部針刺減壓（chest needle decompression）","進行動脈氣體分析（arterial blood gas analysis）","C",null,[],"本題考點為張力性氣胸的辨識與緊急處置。考點在於車禍外傷病人出現單側（右側）呼吸音消失合併氣管向對側（左側）偏移，是張力性氣胸的典型徵象，胸腔內壓持續升高壓迫縱膈與大血管，須立即施行胸部針刺減壓以排出積氣、解除壓迫，故選 C。A 血液培養用於感染評估，與此急症無關。B 病人尚未心跳停止，優先減壓而非直接 CPR。D 動脈血液氣體分析屬檢查，會延誤救命處置，不應優先。","張力性氣胸機轉：胸壁或肺傷口形成單向活瓣，吸氣時氣體進入胸膜腔卻無法排出，壓力持續累積使患側肺塌陷、縱膈與氣管推向健側、壓迫腔靜脈回流致心輸出量驟降（阻塞性休克）。徵象：患側呼吸音消失、叩診過度反響、氣管偏向健側、頸靜脈怒張、低血壓。急救＝立即針刺減壓（第 2 肋間鎖骨中線），再置放胸管。記憶：氣管偏向健側＋單側無呼吸音＝張力性氣胸，先放氣救命，別先做檢查。",[24,27,29,32,35],{"term":25,"count":26},"張力性氣胸",4,{"term":28,"count":26},"氣管偏移",{"term":30,"count":31},"阻塞性休克",3,{"term":33,"count":34},"呼吸音消失",2,{"term":36,"count":10},"胸部針刺減壓",[38,42,46,50,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-1-medical-surgical-053","有關放置胸管（chest tube）病人的照護，下列何者正確？",53,{"webId":43,"stem":44,"number":45,"year":9,"session":34},"nurse-110-2-medical-surgical-069","有關甲狀腺素製劑使用原則與注意事項，下列何者錯誤？",69,{"webId":47,"stem":48,"number":31,"year":49,"session":34},"nurse-111-2-medical-surgical-003","有關椎間盤突出手術治療的敘述，下列何者正確？",111,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-112-2-medical-surgical-041","有關上腔靜脈症候群之敘述，下列何者正確？",41,112,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-113-3-medical-surgical-015","下列檢查結果，何者可診斷為糖尿病？",15,113,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-1-medical-surgical-009","肝性腦病變可能出現的臨床表徵，下列何者錯誤？",9,115,"2026-09-04",1788510721265]