[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-3-內外科護理學-034","nurse-112-3-medical-surgical-034",112,3,34,"病人接受左肺切除術後使用胸管，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"監測水封瓶內液面的波動","每班夾住胸管一次","鼓勵咳嗽和深呼吸","每 2 小時擠壓胸管一次","C",null,[],"本題考點在於肺切除術後胸管的照護。C鼓勵咳嗽和深呼吸可促進肺擴張與分泌物排出,最適當。左肺全切除後殘腔需靠滲液蓄積與纖維化逐漸填補,照護重點與一般肺葉切除不同。A監測水封瓶液面波動並非全肺切除的重點,此類病人常不接負壓抽吸。B每班常規夾胸管並非標準,任意夾管可能造成張力性氣胸。D常規擠壓胸管(milking)會產生過大負壓、損傷組織。故選C。","全肺切除(pneumonectomy)與肺葉切除(lobectomy)的胸管管理不同:全肺切除希望殘腔積液填補,常採無抽吸或間歇性引流以維持縱膈居中;而肺葉切除則需引流促使殘餘肺復張。深呼吸與咳嗽是共同的復健重點,可預防肺塌陷與肺炎。",[24,27,29,31],{"term":25,"count":26},"肺切除術後護理",1,{"term":28,"count":26},"胸管照護",{"term":30,"count":26},"肺擴張",{"term":32,"count":26},"水封瓶",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-035","病人的動脈血液氣體分析報告為 pH 7.36，PaO 2 88 mmHg，PaCO 2 50 mmHg，HCO 3- 25 mEq\u002FL，下列措施何者應為最優先？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-031","汪先生診斷為肺癌並接受右肺葉切除術，下列何者為其最適合的術後姿勢臥位？",31,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-medical-surgical-025","下列何者接受自體移植治療後的5年存活率最高？",25,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-023","有關癌症病人出現食慾不振之護理措施，下列何者最適當？",23,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-medical-surgical-017","有關骨髓炎常見之症狀，下列何者錯誤？",17,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-medical-surgical-051","有關膿胸病變發生之部位，下列何者正確？",51,108,"2026-09-04",1788510745081]