[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-3-內外科護理學-008","nurse-112-3-medical-surgical-008",112,3,8,"有關腹腔鏡檢查的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"過於肥胖為禁忌症之一","檢查前測量病人的凝血酶原時間（PT）為 20 秒，可執行此檢查","插入腹腔鏡前需請個案大口吐氣後並摒住呼吸","檢查時因灌入二氧化碳會引起後腰部抽痛","A",null,[],"本題考點在於腹腔鏡檢查的適應症、禁忌與檢查配合。依腹腔鏡檢查原則，過度肥胖會使器械操作與視野受限，屬相對禁忌症之一，故選 A。判斷關鍵是「肥胖增加操作困難為禁忌」。B 錯誤，凝血酶原時間（PT）延長至 20 秒代表凝血功能異常、出血風險高，屬禁忌而不可貿然執行。C 錯誤，插入腹腔鏡與呼吸摒氣配合的敘述不符實際操作。D 錯誤，腹腔灌入二氧化碳後刺激橫膈膜，牽引痛典型放射至肩部（肩痛）而非後腰部抽痛。","腹腔鏡以人工氣腹（灌注 CO₂）撐開腹腔取得視野，術後 CO₂ 殘留刺激膈神經常導致轉移性肩痛，屬正常現象，可衛教採半坐臥並隨氣體吸收而緩解。禁忌症包括嚴重出血傾向、腸阻塞脹氣、廣泛腹腔沾黏及病態肥胖等。術前須評估凝血功能，PT\u002FINR 異常者應矯正後再行侵入性檢查，以降低腹腔內出血風險。",[24,26,29,31],{"term":25,"count":10},"凝血酶原時間 PT",{"term":27,"count":28},"腹腔鏡檢查",1,{"term":30,"count":28},"人工氣腹",{"term":32,"count":28},"轉移性肩痛",[34,38,44,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-009","有關消化性潰瘍藥物治療之目的，下列何者錯誤？",9,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-005","20 歲男性，清晨騎乘重機外出不小心與大卡車擦撞滑倒顳側先著地，送醫時 GCS E4V5M6，為安全起見留院觀察，2 小時後病人突然喪失意識，診斷為硬膜上出血，下列敘述何者錯誤？",5,113,2,{"webId":45,"stem":46,"number":47,"year":42,"session":10},"nurse-113-3-medical-surgical-049","下列何者不是骨折病人應該要密切觀察 6P 的徵象或症狀？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-115-1-medical-surgical-047","有關過敏性休克之敘述，下列何者正確？①接觸的過敏原可能來自藥物、食物、昆蟲叮咬等              ②發生嚴重支氣管擴張及呼吸困難           ③脈搏次數增快、血壓可能正常或降低   ④通常可立即注射 epinephrine改善情況",47,115,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-106-2-medical-surgical-071","有關尿崩症病人的出院護理指導，下列何者不適當？",71,106,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-medical-surgical-025","下列何者是 Heparin 之解毒劑？",25,108,"2026-09-04",1788510744819]