[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-035":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-035","nurse-113-1-medical-surgical-035",113,1,35,"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？",{"A":14,"B":15,"C":16,"D":17},"痰液量增加","胸部X光出現肺浸潤","白血球上升","呼吸離軌度增加","D",null,[],"本題考點在於肺炎鏈球菌肺炎的臨床表徵,屬反向題,須找出最不適當者。肺炎是肺實質發炎與滲出物填充,病側肺擴張受限,呼吸時胸廓起伏(呼吸移動度)應是減少而非增加,故D敘述最不適當。A適當,肺炎會使痰液(常為鏽色痰)增加;B適當,X光可見肺葉浸潤或實質化;C適當,細菌感染使白血球上升。","肺實質化(consolidation)的理學檢查特徵:病側呼吸移動度下降、觸覺震顫增強、叩診濁音、聽診支氣管呼吸音與囉音。肺炎鏈球菌肺炎典型為鏽色痰、突發高燒、寒顫。記憶:實質化=傳導變好(震顫、語音共鳴增強)但活動度變差。",[24,27,29,31],{"term":25,"count":26},"肺實質化",3,{"term":28,"count":10},"肺炎鏈球菌肺炎",{"term":30,"count":10},"呼吸移動度下降",{"term":32,"count":10},"鏽色痰",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-036","有關慢性阻塞性肺疾病（COPD）病人飲食指導之敘述，下列何者較適當？①進食時可將氧氣面罩更換為氧氣套管 ②選擇易咀嚼食物 ③增加碳水化合物 ④減少水分的攝取",36,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-113-3-medical-surgical-032","王先生診斷肺癌接受放射線治療時，出現皮膚乾燥、發癢和脫皮情形，下列護理措施何者最適當？",32,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-026","承上題，有關王先生的護理與處置，下列何者正確？",26,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-024","使用 Beta 腎上腺素阻斷劑治療青光眼之敘述，下列何者錯誤？",24,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-068","有關糖尿病性酮酸中毒病人的臨床表徵，下列何者正確？",68,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-medical-surgical-022","冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",22,108,"2026-09-04",1788510750506]