[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-112-1-內外科護理學-026","nurse-112-1-medical-surgical-026",112,1,26,"有關急性心肌梗塞的診斷檢查，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血液中肌酸磷酸激酶（CPK）升高可以表示組織損傷","心肌旋轉蛋白（Troponin I）對心肌受損具有特異性及敏感性","心電圖出現 Q 波表示心肌受損在表層","心電圖 ST 間段及 T 波的改變可以協助判斷心肌是缺氧、缺血或壞死","C",null,[],"本題考點在於急性心肌梗塞的診斷檢查判讀。依心電圖判讀原則,病理性Q波代表心肌全層(透壁性)壞死,而非表層受損,故錯誤敘述為C。A的肌酸磷酸激酶(CPK,尤其CK-MB)升高反映心肌組織損傷,正確;B心肌旋轉蛋白(Troponin I)對心肌壞死具高特異性與敏感性,是首選指標,正確;D的ST段與T波變化可協助判斷缺血、損傷或壞死程度,正確,故皆非答案。","心電圖演變:T波高聳\u002F倒置(缺血)→ST段抬高(損傷)→病理性Q波(壞死、透壁)。心肌酵素時序:Myoglobin最早升(2-3小時)、Troponin特異性最高且維持長(數天至兩週)、CK-MB約4-6小時升高、24小時達高峰。Troponin是現行黃金診斷標準,Q波出現代表壞死已達全層。",[24,27,30,32],{"term":25,"count":26},"急性心肌梗塞",5,{"term":28,"count":29},"Troponin I",2,{"term":31,"count":10},"病理性Q波透壁壞死",{"term":33,"count":10},"CK-MB與ST-T變化",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-medical-surgical-027","有關裝置植入式自動心律轉換去顫器（AICD）病人居家護理指導之敘述，下列何者錯誤？",27,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-112-2-medical-surgical-043","有關原發性皮膚病變之敘述，下列何者正確？",43,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-1-medical-surgical-007","承上題，關於陳先生的護理措施，下列何者正確？①限制水分與蛋白質的攝取 ②每天測量體重與腹圍，記錄輸出入量 ③給與利尿劑後，儘快補充Albumin ④使用Lactulose以減少細菌分解蛋白質所產生大量氨",7,113,{"webId":49,"stem":50,"number":26,"year":51,"session":29},"nurse-114-2-medical-surgical-005","有關病人因頸椎脊髓損傷處於脊髓休克期的敘述，下列何者錯誤？",114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-medical-surgical-009","王先生因直腸癌入院手術，醫師採用腹部會陰切除術及結腸造口術，術後 1 個月，教導王先生自我執行結腸灌洗之護理指導，下列何者錯誤？",9,106,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-107-1-medical-surgical-043","有關末期腎疾病（ESRD）病人之液體攝取量的估計原則，下列何者最適當？",107,"2026-09-04",1788510741924]