[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-2-內外科護理學-058","nurse-112-2-medical-surgical-058",112,2,58,"下列何者最不可能出現在肺氣腫病人的肺功能檢查結果？",{"A":14,"B":15,"C":16,"D":17},"肺總量（TLC）增加","第一秒鐘用力吐氣容積（FEV 1 ）降低","第一秒鐘用力吐氣容積與用力肺活量之比值（FEV 1 \u002FFVC）大於 80%","肺餘容積（RV）增加","C",null,[],"本題考點為肺氣腫（emphysema）的肺功能檢查特徵，屬找出『最不可能』出現者的反向題。最不可能者為 C：肺氣腫屬阻塞性通氣障礙，其標誌是 FEV₁\u002FFVC 比值『下降』（＜70%），若比值『大於 80%』反而傾向正常或限制型，與阻塞性不符，故選 C。A、D 屬典型，肺氣腫因氣體滯積使肺總量（TLC）與肺餘容積（RV）增加；B 屬典型，呼氣氣流受阻使第一秒用力吐氣量（FEV₁）降低。故不符合者為 FEV₁\u002FFVC＞80% 的 C。","阻塞性與限制性肺疾的肺功能鑑別是高頻考點：阻塞性（肺氣腫、慢性支氣管炎、氣喘）因呼氣氣流受阻，FEV₁ 明顯下降、FEV₁\u002FFVC＜70%，並因氣體滯留使 RV、TLC 增加；限制性（肺纖維化、胸廓限制）則肺容積普遍縮小、FEV₁\u002FFVC 可正常甚至偏高。肺氣腫因肺泡壁破壞、彈性回縮力喪失，呼氣時小氣道塌陷加重滯氣。記憶『阻塞看比值降、容積脹；限制看容積縮、比值不降』，即可辨識 FEV₁\u002FFVC＞80% 不屬肺氣腫。",[24,27,30,32],{"term":25,"count":26},"肺氣腫",5,{"term":28,"count":29},"阻塞性通氣障礙FEV1\u002FFVC下降",1,{"term":31,"count":29},"肺總量與肺餘容積增加",{"term":33,"count":29},"阻塞性與限制性肺功能鑑別",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-059","有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",59,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-113-1-medical-surgical-025","王小明，體重50公斤，接受組織配對成功為供髓者，下列護理措施何者正確？",25,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-medical-surgical-019","評估靜脈曲張之靜脈瓣功能的檢查，下列何者正確？①逆流型充盈試驗（retrograde filling test） ②艾倫測驗（Allen’s test） ③霍曼氏徵象（Homan sign） ④手壓測驗（manual compression test）",19,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-115-1-medical-surgical-017","有關血栓性靜脈炎之評估與照護原則，下列敘述何者錯誤？",17,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-041","有關腫瘤溶解症候群的處置，下列何者錯誤？",41,106,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-107-2-medical-surgical-075","有關甲狀腺機能亢進症之臨床表徵，下列何者錯誤？",75,107,"2026-09-04",1788510747791]