[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-2-內外科護理學-016","nurse-113-2-medical-surgical-016",113,2,16,"有關感染性心內膜炎臨床表徵之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"發燒型態為回歸熱","出現心雜音","常發生腦栓塞","四肢出現羅氏斑（Roth’s spots）","D",null,[],"本題考點在於感染性心內膜炎的周邊血管表徵定位,屬反向題。羅氏斑(Roth's spots)是視網膜上帶白色中心的出血點,出現在眼底而非四肢,故 D「四肢出現羅氏斑」定位錯誤、即為答案。A 正確,菌血症可致發燒,型態可呈回歸\u002F間歇熱。B 正確,贅生物破壞瓣膜造成逆流,聽診出現心雜音。C 正確,瓣膜贅生物脫落形成栓子,常致腦栓塞等全身性栓塞。四肢的典型表現應為 Osler 結節(指趾痛性結節)與 Janeway 病灶(掌蹠無痛紅斑),而 Roth's spots 屬眼底,故被挑出。","感染性心內膜炎免疫與栓塞現象記憶對照:Roth's spots(眼底)、Osler nodes(手指痛)、Janeway lesions(手掌無痛)、splinter hemorrhage(指甲下線狀出血)。診斷用 Duke 準則(血液培養+心臟超音波贅生物)。口訣:Roth 在眼、Osler 痛在指、Janeway 不痛在掌。",[24,27,30,32],{"term":25,"count":26},"感染性心內膜炎",3,{"term":28,"count":29},"Roth's spots 眼底",1,{"term":31,"count":29},"Osler 結節與 Janeway 病灶",{"term":33,"count":29},"Duke 診斷準則",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-017","有關心包填塞之臨床表徵，下列何者錯誤？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-medical-surgical-013","有關骨質疏鬆症處置之敘述，下列何者正確？",13,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-medical-surgical-007","有關胃食道逆流之護理指導，下列敘述何者最適當？①採床頭抬高的姿勢睡覺 ②穿緊身衣防止胃內容物逆流 ③進食後需躺平休息 ④避免提重物或彎腰運動",7,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-medical-surgical-055","有關槤枷胸之敘述，下列何者正確？",55,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-019","有關軟組織損傷病人的護理評估結果，下列何者顯示可能有腔隙症候群？",19,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-053","肺葉切除術後，常放置兩支胸管引流，下列敘述何者正確？",53,108,"2026-09-04",1788510754999]