[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-027":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-111-2-內外科護理學-027","nurse-111-2-medical-surgical-027",111,2,27,"關於雷諾氏病的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"該疾病好發於年輕女性","好發於近心端肢體","容易因為冷的環境或壓力誘發","患側肢體先變白，再轉為發紺","B",null,[],"本題考點為雷諾氏病(Raynaud's disease)的臨床特徵。此病為末梢小動脈陣發性痙攣,依其病理好發於遠心端肢體(手指、腳趾等末梢),而非近心端,故 B 敘述錯誤,為本題答案。其餘正確:此病好發於年輕女性(A對);寒冷或情緒壓力會誘發交感神經興奮、血管痙攣(C對);典型三相變化為患肢先因血管痙攣缺血變白,續因缺氧轉為發紺(藍紫),回溫後充血變紅(D對)。","雷諾現象的三色變化(白-藍-紅)可對應病生理:白色期為動脈痙攣導致血流中斷,藍紫期為滯留血液去氧化,紅色期為痙攣解除後反應性充血。好發遠心端是因末梢小動脈對交感刺激與寒冷最敏感、且離心臟遠灌流壓最低。原發性(雷諾氏病)無潛在疾病、預後良好;續發性(雷諾氏現象)常伴隨硬皮症、紅斑性狼瘡等結締組織疾病。護理重點在保暖與戒菸,因尼古丁會加重血管收縮。",[24,27,29,31],{"term":25,"count":26},"雷諾氏病",1,{"term":28,"count":26},"末梢動脈痙攣",{"term":30,"count":26},"三相顏色變化",{"term":32,"count":26},"交感神經誘發",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-028","有關冠狀動脈繞道手術後，為維持正常心輸出量的處置，下列敘述何者錯誤？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-044","王同學騎機車不慎與汽車擦撞引發機車起火，右小腿外側有 15 公分 ×7.5 公分的皮膚受損，診斷為深二度燒傷。下列臨床表徵何者正確？①皮膚變紅無水泡 ②皮膚呈灰白色有水泡 ③劇烈疼痛感 ④汗腺及毛囊完整 ⑤表皮及真皮層受損",44,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-058","下列何者最不可能出現在肺氣腫病人的肺功能檢查結果？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-026","相較於何杰金氏病，有關非何杰金氏淋巴瘤之敘述，下列何者錯誤？",26,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-030","有關類風濕性關節炎藥物治療之敘述，下列何者正確？",30,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-044","有關疥瘡病人照護方式之敘述，下列何者錯誤？",106,"2026-09-04",1788510738469]