[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-048":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":26},"nurse-113-3-內外科護理學-048","nurse-113-3-medical-surgical-048",113,3,48,"李先生用餐時，突然發生激烈咳嗽及呼吸困難，並伴有「咻」、「咻」喘氣聲，下列何者最為可能？",{"A":14,"B":15,"C":16,"D":17},"呼吸道梗塞","心肌梗塞","主動脈剝離","肺栓塞","A",null,[],"本題考點在於進食中突發呼吸道症狀的鑑別判斷。依情境，李先生於用餐時突然激烈咳嗽、呼吸困難並出現「咻咻」的喘鳴聲(stridor\u002Fwheezing)，最符合食物哽入造成的呼吸道異物梗塞，選 A。B 心肌梗塞以胸痛、冷汗為主而非進食嗆咳；C 主動脈剝離以撕裂樣胸背痛表現；D 肺栓塞常見於久臥或術後、以突發喘與胸痛為主，均與進食當下的嗆咳喘鳴情境不符。","呼吸道異物梗塞的判斷關鍵在時間點與聲音：進食當下突發、劇烈咳嗽合併吸氣性喘鳴，代表氣道部分阻塞。部分阻塞且能有效咳嗽時鼓勵持續咳嗽;若轉為完全阻塞、無法發聲或呼吸,則須立即施行哈姆立克急救,是臨床辨識與處置的分水嶺。",[24,27,29,31,33],{"term":25,"count":26},"呼吸道異物梗塞",1,{"term":28,"count":26},"吸氣性喘鳴",{"term":30,"count":26},"進食嗆咳",{"term":32,"count":26},"哈姆立克急救",{"term":34,"count":26},"鑑別診斷",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-medical-surgical-049","下列何者不是骨折病人應該要密切觀察 6P 的徵象或症狀？",49,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-medical-surgical-045","有關糖尿病足部之身體評估可能結果，下列何者錯誤？",45,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-115-1-medical-surgical-039","有關泌尿道檢查之敘述，下列何者正確？",39,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-medical-surgical-057","肺炎病人接受抗生素治療，下列何者表示抗生素已發揮作用？",57,106,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-108-1-medical-surgical-021","與引起聽力問題有關之疾病，下列何者最不可能？",21,108,{"webId":62,"stem":63,"number":64,"year":65,"session":26},"nurse-109-1-medical-surgical-055","病人肺部手術後出現呼吸速率加快、粉紅色泡沫狀痰液、持續性咳嗽、呼吸困難和囉音等表徵，最有可能的合併症是下列何者？",55,109,"2026-09-04",1788510752919]