[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-036":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":26},"nurse-114-1-內外科護理學-036","nurse-114-1-medical-surgical-036",114,1,36,"有關肺膿瘍病人的護理評估，下列何者最可能出現？",{"A":14,"B":15,"C":16,"D":17},"呼吸音減弱有時會出現肋膜摩擦音","叩診出現鼓音","上肺葉吸氣期出現喘鳴音","叩診出現過度反響音","A",null,[],"本題考點在於肺膿瘍的護理評估發現。依其病生理，肺膿瘍為肺實質局部化膿壞死並形成含膿液的空腔，患處肺泡充填膿液使氣體傳導受阻，故呼吸音減弱，若病灶鄰近肋膜則可聽到肋膜摩擦音，A正確為答案。B叩診鼓音與D過度反響音皆代表含氣過多（如氣胸），與膿液充填的實質化相反；C上肺葉吸氣期喘鳴音提示上呼吸道或支氣管狹窄，非膿瘍典型表現，故B、C、D皆錯誤。","肺膿瘍多因吸入性感染，好發於重力依賴的肺節，臨床有發燒、咳出大量惡臭膿痰與體重減輕。膿液充填使該區實質化，叩診呈濁音、呼吸音減弱，若破入肋膜可致膿胸並出現摩擦音。與肺氣腫或氣胸的過度反響、鼓音恰成對比。判讀原則：實質裡是「液」則音鈍、是「氣」則音響。",[24,27,29,31],{"term":25,"count":26},"肺實質化",3,{"term":28,"count":10},"肺膿瘍",{"term":30,"count":10},"呼吸音減弱",{"term":32,"count":10},"肋膜摩擦音",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-037","有關高血鉀導因之敘述，下列何者正確？①使用血管收縮素轉換酶抑制劑         ②使用醛固酮拮抗劑 ③使用噻嗪類利尿劑（thiazide diuretics）   ④代謝性鹼中毒",37,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-114-3-medical-surgical-033","有關急性呼吸衰竭之氧合與通氣的評估，下列敘述何者最適當？",33,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-medical-surgical-027","有關皮膚結構之敘述，下列何者正確？",27,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-medical-surgical-015","有關肝癌病人接受動脈栓塞療法（Transcatheter Arterial Embolization, TAE）之敘述，下列何者正確？",15,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-059","下列何者不會出現少尿現象？",59,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-medical-surgical-013","下列何者不是大腸鏡檢查的禁忌症？",13,109,"2026-09-04",1788510757486]