[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-053","nurse-110-1-medical-surgical-053",110,1,53,"有關放置胸管（chest tube）病人的照護，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"為避免胸管滑脫，應限制病人活動","平時應間歇性的夾住管路，避免過度引流","水封瓶內出現大量氣泡，為正常現象","負壓引流時，抽吸控制瓶應使用持續性抽吸","D",null,[],"本題考點在於胸管密閉引流系統三瓶構造的運作原理。負壓引流時，抽吸控制瓶以水柱高度決定負壓大小，並須連接持續性抽吸使負壓穩定，故選D。選項A錯在放置胸管並非限制活動，反而應鼓勵深呼吸與適度肢體活動以促進肺擴張。選項B錯在常規夾管會使胸腔內氣體或液體無法排出，恐造成張力性氣胸，僅在更換引流瓶或特定醫囑下短暫執行。選項C錯在水封瓶持續大量氣泡代表系統漏氣或肺部持續漏氣，屬異常而非正常現象，正常只在咳嗽時偶見氣泡。","胸管三瓶系統可拆解記憶：收集瓶（引流液）、水封瓶（單向閥防逆流，觀察是否漏氣與隨呼吸波動tidaling）、抽吸控制瓶（水柱高度＝負壓值，通常-20cmH₂O）。判斷漏氣訣竅：水封瓶「持續冒泡＝漏氣」，「隨呼吸波動＝正常且管路通暢」；若波動消失須警覺管路阻塞或肺已完全擴張。夾管禁忌與張力性氣胸的病生理相連——氣體只進不出使縱膈腔移位、靜脈回流受阻。可連結概念：肋膜腔負壓生理、tension pneumothorax、tidaling。",[24,27,29,31],{"term":25,"count":26},"張力性氣胸",4,{"term":28,"count":10},"胸管密閉引流系統",{"term":30,"count":10},"抽吸控制瓶",{"term":32,"count":10},"水封瓶漏氣判斷",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-054","使用卞德里氧氣面罩（Venturi mask）給氧的最主要特點為何？",54,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-medical-surgical-070","有關康氏症候群（Conn’s syndrome）的臨床表徵，下列何者錯誤？",70,2,{"webId":44,"stem":45,"number":26,"year":46,"session":42},"nurse-111-2-medical-surgical-004","有關誘發腦下垂體中風原因的敘述，下列何者正確？",111,{"webId":48,"stem":49,"number":50,"year":51,"session":42},"nurse-112-2-medical-surgical-042","有關癌症疼痛處置之敘述，下列何者正確？",42,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-medical-surgical-016","有關肥厚型心肌病變之病因，下列何者最正確？",16,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-010","因闌尾炎破裂而懷疑有腹膜炎病人之臨床表徵，下列何者正確？①觸診腹部僵硬           ②強烈的反彈痛 ③腸蠕動音增加    ④腹部叩診為實音",10,115,"2026-09-04",1788510721290]