[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-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-111-1-內外科護理學-053","nurse-111-1-medical-surgical-053",111,1,53,"下列何者為肺水腫最典型的症狀？",{"A":14,"B":15,"C":16,"D":17},"呼吸音出現肋膜摩擦音","突然胸痛","粉紅色泡沫痰","杵狀指","C",null,[],"本題考點為肺水腫最典型的臨床症狀。肺水腫時液體滲入肺泡並與空氣混合，加上微血管破裂帶血，形成「粉紅色泡沫痰」，是最具代表性的表徵，故選 C。A肋膜摩擦音為肋膜炎特徵、B突然胸痛較符合肺栓塞或心肌梗塞、D杵狀指見於慢性缺氧疾病，皆非肺水腫的典型急性表現。判斷依據為肺泡內液體與血液混合產生粉紅泡沫痰，並伴隨端坐呼吸、濕囉音與焦慮等急性肺充血症狀。","急性肺水腫多因左心衰竭致肺靜脈壓上升、血漿滲入肺間質與肺泡，聽診可聞雙側濕囉音，病人端坐呼吸、冒冷汗、極度呼吸困難。粉紅泡沫痰＝血液（粉紅）＋空氣攪動（泡沫）。處置原則含高濃度氧氣、採坐姿垂足以減少靜脈回流、利尿與血管擴張。記憶：肺水腫「粉紅泡沫痰＋濕囉音＋端坐呼吸」三聯。",[24,27,30,31],{"term":25,"count":26},"肺水腫",9,{"term":28,"count":29},"左心衰竭",6,{"term":16,"count":10},{"term":32,"count":10},"肺泡積液",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-054","病人行氣管內插管後聽診呼吸音時，發現左側肺部呼吸音減弱但右側正常，下列何者為導致此情形最可能的原因？",54,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）的護理指導，下列何者錯誤？",70,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-112-2-medical-surgical-004","若右眼外旋神經受到血腫壓迫導致複視（diplopia），病人在下列那一種指示下，右眼複視最為明顯？",4,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-medical-surgical-022","有關何杰金氏淋巴瘤的敘述，下列何者正確？",22,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-medical-surgical-026","有關帶狀疱疹，下列敘述何者最適當？①感染痊癒後通常會有終生免疫力 ②避免摩擦造成水泡破裂，建議穿寬鬆柔軟衣服 ③當有神經痛症狀，可給予適當的止痛藥物 ④未患過水痘的人，應避免與帶狀疱疹病人接觸",26,114,3,{"webId":60,"stem":61,"number":41,"year":62,"session":10},"nurse-106-1-medical-surgical-070","有關糖尿病酮酸中毒之常見徵象，下列何者正確？",106,"2026-09-04",1788510734683]