[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-057","nurse-112-2-medical-surgical-057",112,2,57,"有關單側自發性氣胸病人之身體檢查評估結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"吸氣時，胸廓兩側不對稱","患側觸覺震顫減弱","患側叩診為過度反響音","橫膈膜離軌度變大","D",null,[],"本題考點為單側自發性氣胸的身體評估發現，屬找出錯誤敘述的反向題。錯誤敘述為 D：氣胸時患側肺塌陷、橫膈膜活動受限，其『離軌度（活動度）應變小』而非變大，故此敘述錯誤，選 D。A 正確，患側肺塌陷使吸氣時胸廓兩側起伏不對稱；B 正確，氣體積聚使聲音傳導變差，患側觸覺震顫減弱；C 正確，患側因積氣叩診呈過度反響音（hyperresonance）。這些皆為氣胸『患側充氣、肺塌陷』的一致表現。","氣胸的身體評估遵循『患側充氣、肺塌陷』的一致邏輯：視診患側呼吸起伏減少、觸診觸覺震顫減弱（氣體阻礙聲音傳導）、叩診過度反響音（積氣）、聽診呼吸音減弱或消失。橫膈膜因患側肺塌陷與胸膜腔積氣，活動度（離軌度）減少。與此對比，肺實質實變（如肺炎）則觸覺震顫『增強』、叩診濁音。記憶『氣胸：震顫弱、叩過響、呼吸音消、膈動減』，凡選項說橫膈活動『變大』即為錯誤陷阱。",[24,27,30,32],{"term":25,"count":26},"觸覺震顫減弱",3,{"term":28,"count":29},"自發性氣胸身體評估",1,{"term":31,"count":29},"過度反響音",{"term":33,"count":29},"橫膈膜活動度減少",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-058","下列何者最不可能出現在肺氣腫病人的肺功能檢查結果？",58,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-medical-surgical-024","病人接受doxorubicin（Adriamycin®）注射時，發現點滴不順、針頭附近有微發紅及刺痛情形，下列處置何者不適當？",24,113,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-113-3-medical-surgical-018","有關高血壓的敘述，下列何者正確？",18,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-115-1-medical-surgical-016","有關心包膜炎照護之敘述，下列何者不適宜？",16,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-040","有關造成大量凝血活酶釋入血液中，導致凝血因子全面活化，促使全身血管內凝血之情況，下列何者錯誤？",40,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-074","有關長期服用 prednisolone 的護理指導，下列何者錯誤？",74,107,"2026-09-04",1788510747778]