[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-113-2-內外科護理學-009","nurse-113-2-medical-surgical-009",113,2,9,"有關急性膽囊炎病人的疼痛評估與處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"左上腹或下腹中央疼痛，會輻射至左背部","觸診膽囊有壓痛，且吸氣時更嚴重","可注射 Morphine 以緩解疼痛","羅氏徵象 Rovsing’s signs（+）","B",null,[],"本題考點在於急性膽囊炎的典型理學徵象。依墨菲氏徵象(Murphy's sign),觸診右上肋緣下膽囊區並囑病人吸氣,發炎腫大的膽囊下移頂到指尖引發劇痛而暫停呼吸,故 B「觸診有壓痛且吸氣時更嚴重」正確。A 錯在膽囊炎為右上腹痛並輻射至右肩胛\u002F右背,而非左上腹或左背。C 錯在 Morphine 會使 Oddi 括約肌收縮、加重膽道壓力與疼痛,傳統上避免使用。D 錯在 Rovsing 徵象是壓左下腹引右下腹痛,屬闌尾炎的表現,與膽囊無關。整體以疼痛部位與特異徵象辨識。","膽囊炎多因結石阻塞膽囊管致發炎腫脹,故壓痛集中右上腹並隨吸氣加劇(Murphy's sign)。止痛偏好 Meperidine 或 NSAID,理由是對 Oddi 括約肌影響較小。記憶:Murphy 吸氣痛在膽,Rovsing 反跳痛在闌尾,McBurney 點也屬闌尾。",[24,27,30,32],{"term":25,"count":26},"墨菲氏徵象",5,{"term":28,"count":29},"急性膽囊炎",4,{"term":31,"count":10},"Oddi 括約肌痙攣",{"term":33,"count":34},"Rovsing 徵象屬闌尾炎",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-2-medical-surgical-010","預防全胃切除病人發生惡性貧血，可補充下列何種維生素？",10,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-114-1-medical-surgical-006","有關胃食道逆流症的護理指導，下列敘述何者錯誤？",6,114,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-114-2-medical-surgical-050","有關困難梭狀桿菌相關腹瀉（Clostridium difficile associated diarrhea）之敘述，下列何者錯誤？",50,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-106-1-medical-surgical-048","病人手部有尺側偏斜及近端指關節過度伸展變形，下列何者為其最可能之診斷？",48,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-medical-surgical-012","有關胃潰瘍與十二指腸潰瘍之敘述，下列何者錯誤？",12,107,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-108-2-medical-surgical-046","有關後天免疫之敘述，下列何者錯誤？",46,108,"2026-09-04",1788510754931]