[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-110-2-內外科護理學-055","nurse-110-2-medical-surgical-055",110,2,55,"下列何者為肺炎病人最可能出現的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"呼吸過慢（bradypnea）","頸靜脈怒張（jugular vein distension）","泡沫狀痰（frothy sputum）","意識混亂（confusion）","D",null,[],"本題考點在肺炎的臨床表徵辨識。肺炎因肺泡發炎充填分泌物造成氣體交換下降,老年或缺氧病人常以意識混亂表現,故選D。呼吸過慢並非肺炎表現,肺炎多因缺氧與發燒而呼吸加快,選項A相反;頸靜脈怒張是右心衰竭或體液容積過多的徵象,非肺炎特徵,選項B錯;泡沫狀痰甚至粉紅色是肺水腫的典型表現,肺炎多為黃綠膿痰,選項C亦不符,故均非答案。","肺炎典型表徵:發燒、寒顫、膿痰、胸痛、呼吸過速與囉音(crackles)。老年人常缺乏典型發燒,反以意識混亂、食慾差、跌倒表現,故評估需警覺非典型呈現。鑑別記憶:泡沫粉紅痰對應肺水腫;鐵鏽色痰對應肺炎鏈球菌;綠痰對應綠膿桿菌;頸靜脈怒張對應右心衰竭。可連結缺氧造成腦部灌流與供氧不足而致意識改變的機轉。",[24,26,29,31,33],{"term":25,"count":10},"肺炎",{"term":27,"count":28},"意識混亂",1,{"term":30,"count":28},"缺氧",{"term":32,"count":28},"痰液性狀鑑別",{"term":34,"count":28},"老年非典型表現",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-056","有關肋膜積水進行放液時，若一次超過 1,200 c.c.，可能會發生下列何種現象？",56,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-111-1-medical-surgical-072","有關糖化血紅素（HbA1c）的敘述，下列何者正確？",72,111,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-112-1-medical-surgical-006","有關巴金森氏症病人的日常活動指導，下列敘述何者錯誤？",6,112,{"webId":51,"stem":52,"number":53,"year":49,"session":54},"nurse-112-3-medical-surgical-044","有關中樞性尿崩症的敘述，下列何者正確？",44,3,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-114-1-medical-surgical-048","72歲男性，有心臟病病史，夏天逛露天賣場時不明原因昏倒，臉色潮紅，皮膚乾熱，呼吸24次／分，脈搏強而快，體溫41.5℃，下列何者為其最可能診斷？",48,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-042","有關急性腎盂腎炎病人的敘述，下列何者錯誤？",42,115,"2026-09-04",1788510729310]