[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-029":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-110-2-內外科護理學-029","nurse-110-2-medical-surgical-029",110,2,29,"有關心臟血管系統檢查評估的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"頸靜脈搏動最高點與胸骨角的垂直距離為 5 公分，顯示可能右心房壓力偏高","聽診第三心音時，病人應採左側臥，以聽診器膜面聽診心尖處","心尖最大搏動點之正常位置，應在左鎖骨中線與第五肋間交叉處","評估脈搏應記錄速率、節律、強度，並比較左、右側的對稱性","B",null,[],"本題考點在於心臟血管系統的評估技術，須挑出錯誤者。第三心音(S3)為低頻音，聽診時病人採左側臥、以聽診器的「鐘面(bell)」輕貼心尖處才聽得清楚，故B敘述使用「膜面」聽診有誤，為本題答案。頸靜脈搏動最高點與胸骨角垂直距離超過正常(約>4-5公分)提示右心房壓力偏高(A)，正確。心尖最大搏動點(PMI)正常位於左鎖骨中線與第五肋間交叉處(C)，正確。評估脈搏須記錄速率、節律、強度並比較左右對稱性(D)，正確。故錯誤者為B。","音頻決定聽診面：低頻音(S3、S4、二尖瓣狹窄舒張隆隆音)用鐘面輕貼;高頻音(S1、S2、瓣膜逆流雜音)用膜面貼壓。S3為心室快速充盈期振動，年輕人可正常，但成人常提示心衰竭或容積負荷過重。左側臥使心尖貼近胸壁增強聽診。記憶口訣「低頻用鐘、高頻用膜；聽S3左側臥」。可連結概念：頸靜脈壓評估、心尖搏動移位、心衰竭徵象。",[24,27,29,31],{"term":25,"count":26},"心臟聽診",1,{"term":28,"count":26},"第三心音S3",{"term":30,"count":26},"鐘面與膜面聽診",{"term":32,"count":26},"頸靜脈壓",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-030","有關心電圖的敘述，下列何者錯誤？",30,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-medical-surgical-046","有關感染疥瘡（Scabies）引起皮膚疾病之敘述，下列何者錯誤？",46,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-060","王先生因慢性腎臟病正服用血管收縮素轉化酶抑制劑（ACEI），有關 ACEI 的敘述，下列何者錯誤？.",60,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-018","有關心臟去纖維震顫器使用的敘述，下列何者錯誤？",18,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-1-medical-surgical-022","顆粒性白血球低下的癌症病人之食物選擇，下列何者最適切？",22,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-016","有關 B 型利鈉胜肽（B-type Natriuretic peptide）檢查的敘述，下列何者正確？",16,115,"2026-09-04",1788510729017]