[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-013":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-112-2-內外科護理學-013","nurse-112-2-medical-surgical-013",112,2,13,"有關腹膜炎常見的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"嘔吐","持續腹痛","腸蠕動降低","體溫持續上升","D",null,[],"本題考點是腹膜炎的典型臨床表徵，錯誤敘述為 D。依腹膜炎的病生理，腹膜受感染或化學刺激會引發劇烈發炎反應：A 反射性嘔吐常見，正確；B 持續且瀰漫的腹痛合併反彈痛、腹肌僵硬（板狀腹）是典型表現，正確；C 因發炎導致腸道麻痺性腸阻塞，腸蠕動減少甚至消失，正確。D 敘述錯誤之處在於「持續上升」的絕對化描述——腹膜炎早期雖常發燒，但體溫並非單向持續上升；當病情惡化進展為敗血性休克時，體溫反而可能下降甚至體溫過低，故「體溫持續上升」的敘述最不正確而為答案。","腹膜炎的評估重點在「腹膜刺激徵象」：反彈痛（Blumberg sign）、腹肌僵直（board-like rigidity）、腸音消失、病人採屈膝平躺不敢移動（因活動加劇疼痛）。發炎全身反應包括發燒、心搏過速、白血球上升。此題的陷阱在體溫的「趨勢」描述：感染性發炎確實引起發燒，但重症敗血症時因體溫調節失衡可出現低體溫，是預後不良徵兆，故不能說體溫「持續」上升。護理觀察須警覺生命徵象由「發燒、心跳快」轉為「低體溫、低血壓」代表病情惡化進入敗血性休克。麻痺性腸阻塞導致腸蠕動降低是重要客觀徵象，與機械性阻塞的腸音亢進不同。",[24,27,29,32],{"term":25,"count":26},"腹膜刺激徵象",4,{"term":28,"count":26},"麻痺性腸阻塞",{"term":30,"count":31},"腹膜炎",3,{"term":33,"count":34},"敗血症體溫變化",1,[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-medical-surgical-014","有關病毒性肝炎傳染途徑之敘述，下列何者錯誤？",14,{"webId":41,"stem":42,"number":43,"year":9,"session":31},"nurse-112-3-medical-surgical-030","承上題，病人體重 65 公斤，其靜脈液體補充，依據帕克蘭公式（Parkland formula）24 小時內的第一個 8 小時應給予多少液體？",30,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-medical-surgical-024","陳小弟，15 歲，剛被診斷為急性白血病，醫師給予強度較強的化學治療，有關急性白血病治療完全緩解的標準，下列何者錯誤？①骨髓內芽細胞（blast cell）＜5% ②周邊血液有芽細胞 ③無器官浸潤 ④造血細胞接近正常值",24,113,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-114-3-medical-surgical-022","腫瘤及組織病理分期 T x N 1 M 0 、G 4 其代表之意義，下列敘述何者最不適當？",22,114,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-106-1-medical-surgical-076","有關巴拉刈（Paraquat）中毒之敘述，下列何者錯誤？",76,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-2-medical-surgical-030","有關心絞痛病人使用硝酸甘油之護理指導，下列何者錯誤？",107,"2026-09-04",1788510747380]