[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-037","nurse-112-3-medical-surgical-037",112,3,37,"有關慢性阻塞性肺疾病（COPD）病人的護理照護計畫，下列何者應列為最優先處理？",{"A":14,"B":15,"C":16,"D":17},"自我照顧能力缺失","呼吸道清除功能失效","活動無耐力","調適障礙","B",null,[],"本題考點在於慢性阻塞性肺疾病(COPD)護理問題的優先次序。依ABC(呼吸道、呼吸、循環)優先原則,B呼吸道清除功能失效直接威脅氣體交換與生命,應列為最優先。COPD病人痰液黏稠、支氣管阻塞使換氣不足,維持呼吸道通暢為首要。A自我照顧能力缺失、C活動無耐力、D調適障礙雖為COPD常見問題,但相較呼吸道通暢的立即危害性較低。故選B。","護理診斷優先排序常用Maslow與ABC原則:先生理後心理、先呼吸循環後其他。COPD照護實務上以「清除呼吸道分泌物(拍痰、噘嘴呼吸、化痰、水分)」與「改善氣體交換」為核心,活動耐力與自我照顧則屬後續復健目標。",[24,25,28,30],{"term":15,"count":10},{"term":26,"count":27},"慢性阻塞性肺疾病(COPD)",1,{"term":29,"count":27},"護理問題優先次序",{"term":31,"count":27},"ABC原則",[33,37,43,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-3-medical-surgical-038","下列何者為細菌性肺炎病人必要的診斷檢查？①胸部電腦斷層 ②胸部 X 光攝影 ③肺功能檢查 ④痰液檢查",38,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-113-2-medical-surgical-034","王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",34,113,2,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-114-1-medical-surgical-028","有關皮膚腫瘤之敘述，下列何者正確？",28,114,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-115-2-medical-surgical-026","有關乳癌之相關敘述，下列何者最不適當？",26,115,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-107-1-medical-surgical-020","有關骨質疏鬆症的臨床現象，下列敘述何者錯誤？",20,107,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-108-1-medical-surgical-054","針對左側氣胸病人之患側胸部評估，下列何者為最可能之發現？",54,108,"2026-09-04",1788510745101]