[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-017","nurse-113-2-medical-surgical-017",113,2,17,"有關心包填塞之臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"動脈性低血壓","頸靜脈怒張","心包膜摩擦音增強","呼吸困難","C",null,[],"本題考點在於心包填塞(cardiac tamponade)的臨床表徵,屬反向題。依 Beck 三徵,心包腔積液壓迫心臟,典型為動脈性低血壓、頸靜脈怒張與心音遙遠低鈍;積液使聲音傳導變差,故 C「心包膜摩擦音增強」與機轉相反、即為錯誤答案。A 正確,填塞限制心室充盈使心輸出量下降、血壓降低。B 正確,右心回流受阻造成頸靜脈怒張。D 正確,心輸出量下降與代償反應致呼吸困難。心包摩擦音多見於「心包炎」尚未大量積液時,一旦積液填塞反而心音變遠,故被挑出。","心包填塞經典 Beck 三徵:低血壓、頸靜脈怒張、心音遙遠,並常見奇脈(吸氣時收縮壓下降>10 mmHg)。積液分隔心臟與聽診面故摩擦音消失、心音低鈍。緊急處置為心包穿刺引流。記憶:填塞讓心音「越來越遠」,不會更響。",[24,27,28,31],{"term":25,"count":26},"奇脈",3,{"term":15,"count":10},{"term":29,"count":30},"心包填塞 Beck 三徵",1,{"term":32,"count":30},"心音遙遠",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-018","有關心房纖維顫動臨床處置之敘述，下列何者正確？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-114-1-medical-surgical-014","下列何者為充滿血管可以供應眼球及視網膜血液及營養的構造？",14,114,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-114-3-medical-surgical-008","有關口腔癌病人接受根除性頸部淋巴廓清術後之照護，下列敘述何者最不適當？",8,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-106-1-medical-surgical-056","有關病人動脈血液氣體分析結果：pH 7.30、PaCO 2 40 mmHg、HCO 3 － 18 mEq\u002FL、PaO 2 70 mmHg、 O 2 Saturation 93%之判讀，下列何者正確？",56,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-medical-surgical-020","有關截肢病人的照護，下列何者錯誤？",20,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-2-medical-surgical-054","當進行肺部聽診時，可經由聽診器清楚的聽到病人所說的話，下列何者為此項檢查之結果？",54,108,"2026-09-04",1788510755011]