[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-054":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-054","nurse-111-1-medical-surgical-054",111,1,54,"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？",{"A":14,"B":15,"C":16,"D":17},"氣管內管插到食道中","氣管內管插到右主支氣管內","氣管內管插到氣管分叉處上","病人有左肺肺炎","B",null,[],"本題考點為氣管內插管後左肺呼吸音減弱、右肺正常的最可能原因。右主支氣管較短、較粗且與氣管夾角較小、走向較垂直，氣管內管過深時最容易滑入右主支氣管，使空氣多進入右肺、左肺通氣不足而呼吸音減弱，故選 B。A插入食道會使雙肺呼吸音皆減弱且上腹脹氣、C插在氣管分叉上方應雙肺對稱、D左肺肺炎為既有病灶非插管後急性變化，皆不符合單側右進氣的表現。判斷依據為右主支氣管的解剖走向。","氣管內管理想位置在氣管分叉（隆突，carina）上方約 2–4 cm。因右主支氣管與氣管軸線夾角約 25°、左側約 45°，異物或過深導管偏向右側，造成右側單肺通氣、左肺塌陷。臨床確認插管位置以雙側呼吸音對稱、呼氣末二氧化碳與胸部 X 光為準。記憶：插太深＝進右支氣管＝左肺音減弱。",[24,27,29,31],{"term":25,"count":26},"氣管內插管",3,{"term":28,"count":10},"右主支氣管解剖",{"term":30,"count":10},"單肺通氣",{"term":32,"count":10},"呼吸音評估",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-055","有關呼吸器的使用，通常會設定每分鐘數次深呼吸，其所要預防之首要合併症，下列何者正確？",55,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-071","有關糖尿病酮酸中毒（DKA）病人的呼吸特徵，下列何者正確？",71,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-112-2-medical-surgical-005","有關病人因腦腫瘤引起顱內壓升高的症狀與徵象，下列敘述何者錯誤？",5,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-medical-surgical-023","有關常見腫瘤標記的應用，下列何者正確？ ①癌胚抗原（CEA）可監測結腸直腸癌治療效果 ②癌抗原 125（CA125）可監測胰臟癌與消化道腫瘤 ③前列腺特異抗原（PSA）為前列腺癌的偵測與治療指標 ④癌抗原 15-3（CA15-3）可監測晚期或合併遠端轉移乳癌之治療反應 ⑤α-胎兒蛋白（AFP）為監測肺癌治療後的指標",23,113,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-3-medical-surgical-027","成人燒傷部位與範圍包括左上肢全部、左下肢正面及軀幹正面，依據九法則評估其燒傷面積為何？",27,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-071","唐女士，口腔癌術後狀況穩定，胰島素注射一天 4 次，鼻胃管灌食一天 6 餐，消化良好，空腹指尖血糖約 100～140 mg\u002FdL，手術前糖化血色素（HbA1c）為 9.5%。唐女士表示「我住院開刀前糖尿病是以口服藥控制，而且血糖控制很好的，我一定要注射胰島素嗎？」護理師的回答，下列何者最適切？",106,"2026-09-04",1788510734700]