[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-112-1-內外科護理學-012","nurse-112-1-medical-surgical-012",112,1,12,"有關肝活體組織切片檢查，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"檢查中，教導個案深呼吸，於吸氣後閉氣 5～10 秒進行穿刺","檢查後，立即協助個案正躺，傷口以彈繃加壓","檢查後，若病人主訴右肩疼痛，應懷疑橫膈下積血","檢查後，除短暫下床如廁外，需臥床 4～6 小時","C",null,[],"本題考點在於肝臟切片（liver biopsy）的檢查前後護理。依解剖與併發症判斷，若切片後病人主訴右肩疼痛，可能因出血或膽汁刺激橫膈、經膈神經轉移痛，須懷疑橫膈下積血或出血，故 C 正確。A 錯在穿刺是在病人吐氣後閉氣進行，以降低橫膈與肺，避免刺傷肺與橫膈，而非吸氣後閉氣；B 錯在檢查後應採右側臥並以砂袋加壓穿刺部位止血，而非立即正躺以彈繃加壓；D 錯在切片後為防出血須臥床休息約 24 小時、且初期避免下床，而非僅需 4～6 小時。故唯 C 正確。","肝切片最大風險是出血與膽汁滲漏，故術前查凝血功能（PT、血小板）。穿刺配合「吐氣後閉氣」使橫膈上抬、肝臟固定。術後右側臥＋砂袋加壓數小時、臥床約 24 小時、密切監測生命徵象與腹痛。右肩轉移痛是橫膈受刺激（膈神經 C3–5）的警訊，提示可能出血。記憶要點：吐氣穿刺、右側臥壓迫、右肩痛要警覺。",[24,26,28,30],{"term":25,"count":10},"肝臟切片",{"term":27,"count":10},"橫膈下積血",{"term":29,"count":10},"右肩轉移痛",{"term":31,"count":10},"術後右側臥加壓",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-medical-surgical-013","有關迴腸造瘻口的護理指導，下列何者正確？",13,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-medical-surgical-029","有關心臟節律器放置術後護理措施之敘述，下列何者不適宜？",29,2,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-medical-surgical-043","有關庫欣氏症候群症狀的病理機轉，下列何者錯誤？",43,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-medical-surgical-041","有關預防泌尿道感染復發的護理指導，下列何者錯誤？",41,114,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-115-2-medical-surgical-045","副甲狀腺切除術後易發生下列何種現象？",45,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-medical-surgical-029","有關鼻咽癌病人接受頭頸部放射線照射時之皮膚護理指導，下列何者錯誤？",107,"2026-09-04",1788510741797]