[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-035":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-035","nurse-113-2-medical-surgical-035",113,2,35,"下列何者不是肺氣腫病人的身體評估結果？",{"A":14,"B":15,"C":16,"D":17},"聽診發現呼吸音減弱","視診可發現胸廓前後徑增加似桶狀胸","叩診出現濁音","觸診出現觸覺震顫減弱","C",null,[],"本題考點在於肺氣腫(emphysema)的理學檢查發現,屬反向題。肺氣腫因肺泡破壞融合、含氣量增加造成過度充氣,叩診應為「過度反響音(hyperresonance)」而非濁音,故 C「叩診出現濁音」與病生理相反、即為錯誤答案。A 正確,肺組織破壞與氣流受阻使聽診呼吸音減弱。B 正確,慢性過度充氣使胸廓前後徑增加,呈現桶狀胸。D 正確,肺泡含氣過多、傳導變差,故觸覺震顫(語音震顫)減弱。逐一比對,濁音多見於實質變化如肺炎實變或積液,與肺氣腫的「氣多」相反,故被挑出。","肺氣腫屬 COPD,病生理為肺泡壁破壞、彈性回縮力下降致氣體滯留與過度充氣,理學上呈桶狀胸、橫膈低平、呼吸音與觸覺震顫減弱、叩診過度反響。濁音對應含氣減少(實變、積液)。記憶:氣愈多叩診愈「空響」,實變積液才是濁音。",[24,27,29,31],{"term":25,"count":26},"叩診過度反響音",3,{"term":28,"count":26},"桶狀胸",{"term":30,"count":26},"觸覺震顫減弱",{"term":32,"count":33},"肺氣腫過度充氣",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-medical-surgical-036","有關急性呼吸窘迫症候群（ARDS）病人使用機械性通氣時，配合使用呼氣末端正壓（PEEP）之目的，下列何者錯誤？",36,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-114-1-medical-surgical-032","病人因車禍送到急診，身體評估出現下列何者時，應懷疑可能有氣胸？",32,114,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-114-3-medical-surgical-026","有關帶狀疱疹，下列敘述何者最適當？①感染痊癒後通常會有終生免疫力 ②避免摩擦造成水泡破裂，建議穿寬鬆柔軟衣服 ③當有神經痛症狀，可給予適當的止痛藥物 ④未患過水痘的人，應避免與帶狀疱疹病人接觸",26,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-106-1-medical-surgical-074","有關原發性醛固酮過多症之臨床表徵，下列何者正確？",74,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-038","長春花鹼類（vinca alkaloids）藥物，如 vincristine，主要作用於細胞週期的那一期？",38,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-072","有關代謝性酸中毒的症狀，下列何者正確？",72,108,"2026-09-04",1788510755183]