[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-056","nurse-112-1-medical-surgical-056",112,1,56,"有關接受肺葉切除手術病人之護理，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"術前接受肺功能檢查，可作為評估術後咳嗽能力的指標","術後教導避免肩部與手臂運動，以利傷口癒合","採肺葉切除手術，術後應臥向患側，以利健側肺部氣體交換","術後使用誘發性肺量計（incentive spirometry），可預防肺塌陷","D",null,[],"本題考點在於肺葉切除術後的呼吸道護理。正確敘述為 D：術後使用誘發性肺量計可鼓勵病人深吸氣、擴張餘留肺泡，維持肺膨脹並預防肺塌陷（肺不張），故 D 正確。A 錯誤，術前肺功能檢查是評估病人能否耐受切除與術後肺儲備，非用來預測咳嗽能力；B 錯誤，術後應鼓勵而非避免肩臂運動，以防患側肩關節僵硬與姿勢異常；C 錯誤，肺葉切除後一般採半坐臥並可臥向術側以促健側肺擴張的說法須視情況，但教導「避免肩臂運動」與「術前評估咳嗽」的敘述本身即錯，正解仍為 D。","肺葉切除與全肺切除的臥位原則不同：肺葉切除鼓勵活動並可協助餘留肺膨脹；全肺切除則避免完全側臥患側以防縱膈擺動與吻合處壓力。誘發性肺量計（IS）目標是達成並維持最大吸氣量，配合深呼吸咳嗽、早期下床，是預防術後肺不張與肺炎的核心。可連結胸管引流觀察與疼痛控制以促進有效咳嗽。",[24,27,29,31,33],{"term":25,"count":26},"誘發性肺量計",2,{"term":28,"count":10},"肺葉切除",{"term":30,"count":10},"預防肺塌陷",{"term":32,"count":10},"術後深呼吸",{"term":34,"count":10},"肩臂運動",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-medical-surgical-057","病人有心衰竭病史，因車禍造成左側肋骨骨折與氣血胸，目前出現急性呼吸衰竭的情形，下列護理措施何者最不適宜？",57,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-112-2-medical-surgical-073","有關第 1 型糖尿病之敘述，下列何者錯誤？",73,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-medical-surgical-037","有關腎臟移植過程之敘述，下列何者錯誤？",37,113,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-114-2-medical-surgical-035","以脈搏血氧測量儀（pulse oximetry）所測得的數值，下列何者表示組織氧合（oxygenation）正常？",35,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-medical-surgical-039","人類乳突病毒（HPV）感染與下列何種癌症有關？",39,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-medical-surgical-073","有關巴拉刈中毒之敘述，下列何者錯誤？",107,"2026-09-04",1788510742196]