[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-056","nurse-111-2-medical-surgical-056",111,2,56,"評估慢性阻塞性肺病（COPD）病人的呼吸道阻塞嚴重度，下列何者為最重要的評估指標？",{"A":14,"B":15,"C":16,"D":17},"用力肺活量（FVC）","第一秒鐘用力呼氣容積（FEV 1 ）","肺活量（VC）","全肺容量（TLC）","B",null,[],"本題考點在於評估 COPD 阻塞嚴重度的核心肺功能指標。COPD 屬阻塞性肺疾，氣體「呼不出去」，第一秒用力呼氣容積（FEV1）及 FEV1\u002FFVC 比值最能反映呼氣氣流受阻程度，GOLD 分級即以 FEV1 佔預測值百分比作為嚴重度依據，故選 B。考點在於阻塞性疾病以呼氣流速指標為主。A 用力肺活量（FVC）反映總呼氣量，COPD 早期可能正常或僅輕微下降，敏感度不如 FEV1。C 肺活量（VC）為靜態容積，無法反映氣流受阻的動態變化。D 全肺容量（TLC）在 COPD 因空氣滯積反而上升，用於評估過度充氣而非阻塞嚴重度。","阻塞性 vs 侷限性：阻塞性（COPD、氣喘）FEV1\u002FFVC \u003C 0.7、FEV1↓、TLC 正常或↑；侷限性（肺纖維化）FEV1\u002FFVC 正常或↑、各容積皆↓。GOLD 分級：FEV1≥80%為輕度、50-79%中度、30-49%重度、\u003C30%極重度。",[24,27,29,31],{"term":25,"count":26},"COPD",3,{"term":28,"count":10},"FEV1\u002FFVC 比值",{"term":30,"count":10},"GOLD 分級",{"term":32,"count":33},"FEV1",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-057","李先生為氣喘病人，目前使用 Aminophylline 靜脈輸注溶液，護理師得知李先生血清中的 Theophylline 濃度為 12 μg\u002FmL，此時最適當的護理措施為何？",57,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-112-1-medical-surgical-073","有關副甲狀腺功能低下之臨床表徵，下列何者正確？①嗜睡 ②高血鈣 ③骨質耗損加劇 ④白內障 ⑤高血磷",73,112,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-112-3-medical-surgical-007","若母親的 HBsAg 與 HBeAg 皆為陽性，其所生的新生兒於出生 24 小時內需接受下列何種注射？",7,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-114-1-medical-surgical-005","有關左側大腦損傷可能引起的功能缺失症狀，下列敘述何者正確？①計算能力降低           ②空間缺損 ③半側忽略   ④語言障礙",5,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-009","下列何者為十二指腸潰瘍病人最常見之主訴？①「吃了東西之後痛得更厲害。」 ②「疼痛很少發生在半夜。」 ③「吃了東西後，疼痛就改善多了！」 ④「半夜常常因為痛而醒來。」",9,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-medical-surgical-073","有關診斷敗血症之檢驗項目，下列何者錯誤？",106,"2026-09-04",1788510738742]