[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-034":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":26},"nurse-113-1-內外科護理學-034","nurse-113-1-medical-surgical-034",113,1,34,"王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",{"A":14,"B":15,"C":16,"D":17},"床頭搖高30度仰臥","坐於床緣，頭和手趴在床旁桌上","躺向左側，左手臂上舉過頭","左手上舉採俯臥","B",null,[],"本題考點在於胸腔放液穿刺術(thoracentesis)的擺位。依穿刺安全與積液重力分布原則,病人宜坐於床緣、雙臂與頭部趴伏在跨床桌上(前傾坐姿),使肋間隙撐開、肋膜液沉積於下方背側便於自後背下部穿刺,並可避免刺傷肺臟,故B最適當。A、C、D的臥姿或俯臥皆不利於積液沉降與後背穿刺定位,且增加操作困難與風險。","前傾坐姿(sitting leaning forward on over-bed table)是胸腔穿刺與腰椎穿刺常用擺位——前者撐開肋間、後者撐開椎間隙。穿刺點多選腋後線第8~9肋間、於肋骨上緣進針(避開肋骨下緣的神經血管束)。無法坐起者才改採半坐臥或患側朝上側臥。",[24,27,29,31],{"term":25,"count":26},"胸腔放液穿刺術",2,{"term":28,"count":10},"前傾坐姿",{"term":30,"count":10},"積液重力沉降",{"term":32,"count":10},"肋間隙",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-035","有關肺炎鏈球菌肺炎病人之臨床表徵，下列敘述何者最不適當？",35,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-031","全身性紅斑性狼瘡屬於下列那一型之過敏反應？",31,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-025","王先生接受輸血治療過程中發生乾咳、血壓上升、嚴重呼吸困難等情形，下列何者為其最有可能發生的輸血不良反應？",25,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-023","有關美尼爾氏症的處置，下列何者錯誤？",23,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-067","有關副甲狀腺機能亢進病人之臨床表徵，下列何者正確？①便祕 ②低血鈣 ③骨質疏鬆 ④心律不整 ⑤高血磷",67,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-medical-surgical-021","有關喉癌的臨床表徵，下列何者正確？",21,108,"2026-09-04",1788510750503]