[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-內外科護理學-009","nurse-111-1-medical-surgical-009",111,1,9,"有關腸阻塞的臨床表徵，下列何者正確？①嘔吐 ②腹脹 ③腹部絞痛 ④腹瀉",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點是腸阻塞的典型臨床表徵。依腸阻塞病生理,腸內容物無法順利通過阻塞處,近端腸段積氣積液造成腹脹,腸道為推動內容物而強力蠕動產生陣發性腹部絞痛,內容物逆流則引起嘔吐,故①嘔吐、②腹脹、③腹部絞痛皆為典型表現,對應選 A(①②③)。④腹瀉並非腸阻塞特徵:完全阻塞時腸道不通,反而是排便排氣停止(便秘、無排氣),而非腹瀉,故含④的選項皆錯。B、C 含④故錯,D 缺①嘔吐且含④亦錯。","四大主徵記憶:痛(colicky pain)、吐(vomiting)、脹(distension)、閉(obstipation,不排便不排氣)。高位小腸阻塞以嘔吐早且劇烈為主、腹脹輕;低位或大腸阻塞以腹脹明顯、嘔吐晚(甚至糞便樣嘔吐)。腹瀉屬『通』的表現,與『阻塞不通』本質矛盾,是最常見的誘答陷阱。聽診早期腸蠕動音亢進呈金屬音,晚期腸壞死則消失。",[24,27,29,31],{"term":25,"count":26},"腸阻塞",3,{"term":28,"count":10},"腹脹與絞痛",{"term":30,"count":10},"嘔吐",{"term":32,"count":10},"便秘無排氣非腹瀉",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-010","有關肝硬化引起腹水機轉之敘述，下列何者正確？",10,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-026","86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",26,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-040","有關癌症病人血小板減少症之處置，下列何者正確？",40,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-028","有關氣爆引發四度熱燒傷的健康問題，下列何者較不常發生？",28,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-medical-surgical-032","有關高血鈉之敘述，下列何者正確？①血鈉的濃度＞130 mEq\u002FL ②導因之一為醛固酮過多症導致 ③尿比重上升 ④指導低鈉飲食如蘇打餅乾、白麵包",32,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-026","有關心因性休克造成之血流動力學變化，下列何者正確？",106,"2026-09-04",1788510734279]