[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-113-3-內外科護理學-019","nurse-113-3-medical-surgical-019",113,3,19,"評估靜脈曲張之靜脈瓣功能的檢查，下列何者正確？①逆流型充盈試驗（retrograde filling test） ②艾倫測驗（Allen’s test） ③霍曼氏徵象（Homan sign） ④手壓測驗（manual compression test）",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於評估下肢靜脈曲張時「靜脈瓣功能」的檢查方法辨識。①逆流型充盈試驗(retrograde filling test,即 Trendelenburg test)與④手壓測驗(manual compression test)皆用於評估靜脈瓣膜是否閉鎖不全,故正確組合①④為 B。②艾倫測驗(Allen's test)是評估「手部」橈動脈與尺動脈血流暢通度,屬動脈評估,與靜脈瓣無關;③霍曼氏徵象(Homan sign)是背屈足部誘發小腿疼痛以評估深部靜脈栓塞(DVT),屬血栓評估而非瓣膜功能。本題屬周邊血管檢查配對題。","Trendelenburg test:抬腿排空靜脈後壓迫大隱靜脈,站起放開觀察充盈方向與速度,判斷淺、深靜脈瓣與交通枝瓣膜功能。Manual compression test:壓迫靜脈近端,遠端觸到壓力波動代表瓣膜閉鎖不全。Allen's test 用於動脈導管置放前評估手部側枝循環。Homan sign 針對 DVT(現認為敏感度低)。辨題關鍵:分清「瓣膜功能 vs 動脈 vs 血栓」三類檢查。",[24,26,29,31,33],{"term":25,"count":10},"靜脈曲張",{"term":27,"count":28},"Trendelenburg test",1,{"term":30,"count":28},"手壓測驗",{"term":32,"count":28},"Allen's test",{"term":34,"count":28},"Homan sign",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-medical-surgical-020","有關機械性人工心瓣膜特性之敘述，下列何者正確？",20,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-medical-surgical-016","下列何者為左心衰竭的臨床表徵？",16,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-115-1-medical-surgical-010","因闌尾炎破裂而懷疑有腹膜炎病人之臨床表徵，下列何者正確？①觸診腹部僵硬           ②強烈的反彈痛 ③腸蠕動音增加    ④腹部叩診為實音",10,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-medical-surgical-028","有關高血壓病人之日常生活護理指導，下列何者正確？",28,106,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-107-2-medical-surgical-072","有關糖尿病人足部照護之敘述，下列何者正確？",72,107,{"webId":62,"stem":63,"number":64,"year":65,"session":28},"nurse-109-1-medical-surgical-026","心臟衰竭病人使用 Dopamine 6 ug\u002Fkg\u002Fmin，給予該劑量 Dopamine 之最主要目的為何？",26,109,"2026-09-04",1788510752618]