[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-112-2-內外科護理學-041","nurse-112-2-medical-surgical-041",112,2,41,"有關上腔靜脈症候群之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"以淋巴瘤的病人最常發生","常見症狀有臉部腫脹、頭痛、呼吸困難等","協助病人採側臥平躺的姿勢，較能改善此症狀","非小細胞癌病人可用化學治療來改善此症狀","B",null,[],"本題考點為上腔靜脈症候群（SVC syndrome）的臨床特徵。考點在於辨識上腔靜脈受壓迫致上半身靜脈回流受阻的表現：常見臉部與頸部腫脹、頭痛、呼吸困難及頸靜脈怒張，故正解為 B。A 錯誤，SVC 症候群最常見成因為肺癌（尤其小細胞肺癌）而非淋巴瘤；C 錯誤，應採半坐臥（抬高床頭）以促進靜脈回流、減輕水腫，而非側臥平躺；D 錯誤，小細胞肺癌對化放療反應佳、常用以改善此症狀，而非非小細胞癌，故選 B。","上腔靜脈位於縱膈，管壁薄、壓力低，易被鄰近腫瘤或腫大淋巴結壓迫，導致上半身靜脈回流受阻，臨床出現顏面與上肢水腫、頸靜脈及胸壁靜脈怒張、頭脹、呼吸困難，嚴重時腦水腫。護理重點為抬高床頭促進回流、避免上肢量血壓與靜脈注射。成因以小細胞肺癌最常見，治療多以放療或化療快速縮小腫瘤。記憶口訣『上腔阻、頭臉腫、床頭抬、找肺癌』，可快速排除側臥平躺與淋巴瘤最常見的錯誤選項。",[24,26,28,30],{"term":25,"count":10},"上腔靜脈症候群",{"term":27,"count":10},"小細胞肺癌",{"term":29,"count":10},"頸靜脈怒張",{"term":31,"count":32},"抬高床頭促進靜脈回流",1,[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-042","有關癌症疼痛處置之敘述，下列何者正確？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-113-1-medical-surgical-008","有關不同部位腸造瘻特性之敘述，下列何者正確？",8,113,{"webId":44,"stem":45,"number":10,"year":42,"session":46},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",3,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-114-3-medical-surgical-050","有關阻塞性黃疸的評估，下列敘述何者最適當？",50,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-medical-surgical-024","有關喉癌之敘述，下列何者錯誤？",24,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-medical-surgical-058","執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",58,107,"2026-09-04",1788510747624]