[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-020":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":10},"nurse-113-2-內外科護理學-020","nurse-113-2-medical-surgical-020",113,2,20,"有關二尖瓣狹窄之血液動力學檢查結果，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"中心靜脈壓上升","右心室壓力上升","肺微血管楔壓（PCWP）上升","心輸出量上升","D",null,[],"本題考點在於二尖瓣狹窄的血液動力學變化,屬反向題。依其病生理,左心房到左心室的通道變窄,血流受阻使左心房壓上升並逆傳,故肺微血管楔壓(PCWP,反映左房壓)上升、肺動脈壓與右心室壓上升、進而中心靜脈壓上升;但進入體循環的血量減少,心輸出量應「下降」,故 D「心輸出量上升」與機轉相反、即為答案。A、B、C 三者皆為狹窄後上游壓力回堵的正確結果。整體循「狹窄→上游壓力升、下游輸出降」的壓力鏈判讀。","二尖瓣狹窄壓力回堵路徑:左房↑→肺靜脈\u002FPCWP↑→肺動脈↑→右心室\u002F右心房↑→CVP↑,臨床見肺鬱血、呼吸困難、右心衰竭與心房顫動。前向血流受限故 CO 下降。記憶:狹窄像水管塞住,前面(上游)壓力全漲,後面(輸出)流量變少。",[24,26,29,31],{"term":25,"count":10},"心輸出量下降",{"term":27,"count":28},"二尖瓣狹窄",1,{"term":30,"count":28},"肺微血管楔壓與左房壓",{"term":32,"count":28},"壓力回堵至右心",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-021","有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",21,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-medical-surgical-017","有關裝置永久性心臟節律器病人居家護理指導之敘述，下列何者錯誤？",17,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-011","有關全髖關節置換術病人之術後護理措施，下列敘述何者最不適當？",11,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-medical-surgical-059","林先生，30 歲，無特殊疾病，因發燒、小便混濁及急性後背腰痛到急診，發現有尿道感染及輸尿管結石 0.5 cm，有關此急性期之護理措施，下列何者錯誤？",59,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-023","有關鼻咽癌的常見病因，下列何者最不相關？",23,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-057","有關呼吸困難之徵象，下列何者最不常見？",57,108,"2026-09-04",1788510755044]