[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-054","nurse-112-1-medical-surgical-054",112,1,54,"有關病人的肺部身體評估，下列結果何者異常？",{"A":14,"B":15,"C":16,"D":17},"吸氣時胸廓對稱性往外擴張","肺部基底部出現反響音","下肺區出現支氣管呼吸音","胸廓左右徑大於前後徑","C",null,[],"本題考點在於肺部身體評估正常與異常音的辨識，屬反向題。異常為 C：支氣管呼吸音（響亮、吐氣長於吸氣）正常只出現在氣管與胸骨上區，若在下肺區周邊聽到支氣管呼吸音，代表肺實質實質化（如肺炎、肺塌陷）使聲音傳導增強，屬異常，選 C。A 正常，吸氣時兩側胸廓對稱外擴；B 正常，含氣肺組織叩診本應呈反響（清）音；D 正常，成人胸廓左右徑本就大於前後徑，前後徑增大才是桶狀胸的異常表現。","正常呼吸音分布：氣管音在頸部、支氣管音在胸骨柄、支氣管肺泡音在主支氣管旁、肺泡音在周邊肺野。周邊聽到支氣管音代表實質化，常伴增強的觸覺震顫、濁音、羊鳴音（egophony E→A）。桶狀胸（前後徑增大、比值趨近 1:1）是肺氣腫過度充氣特徵。可連結叩診濁音對應實質化或積液的定位判讀。",[24,27,29,31,33],{"term":25,"count":26},"肺實質化",3,{"term":28,"count":26},"桶狀胸",{"term":30,"count":10},"肺部聽診",{"term":32,"count":10},"支氣管呼吸音位置",{"term":34,"count":10},"反響音",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-055","張先生患有多重抗藥性結核病（MDR-TB），表示其對何種藥物產生抗藥性？①Ethambutol ②Isoniazid ③Pyrazinamide ④Rifampin",55,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-2-medical-surgical-071","有關胰島素注射之敘述，下列何者正確？",71,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-medical-surgical-035","有關肺炎鏈球菌肺炎病人之臨床表徵，下列敘述何者最不適當？",35,113,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-114-2-medical-surgical-033","有關預防吸入性肺炎病人之護理措施，下列何者最不適當？",33,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-037","乳房腫瘤 3 cm，侵犯至同側腋下淋巴結，但無遠處轉移，依據 TNM 分期，下列何者正確？",37,106,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-107-1-medical-surgical-071","有關嗜鉻細胞瘤典型之 5P 症狀，不包括下列何者？",107,"2026-09-04",1788510742181]