[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-114-2-內外科護理學-006","nurse-114-2-medical-surgical-006",114,2,6,"有關膽囊炎病人的護理評估及照護，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"急性期症狀為右上腹疼痛可能輻射至右下腹部","膽囊手術後須監測腹脹、腹部僵硬、嘔吐等腹膜受感染的徵象","用 morphine 緩解疼痛與痙攣","術後引流液為墨綠色時需立刻通知醫師","B",null,[],"本題考點在於膽囊炎與膽囊術後的護理重點。依膽道系統解剖，膽囊床鄰近腹腔，術後膽汁滲漏或膽管損傷會引發腹膜炎，故須監測腹脹、腹部僵硬、嘔吐等腹膜受感染徵象，選 B。A 錯在急性膽囊炎的右上腹痛典型會輻射至右肩胛或右背(牽扯痛),而非右下腹。C 錯在 morphine 會引起 Oddi 括約肌痙攣、加重膽道壓力與疼痛,膽道疾病傳統改用 meperidine。D 錯在術後 T 型管引流墨綠色膽汁屬正常現象,不需立即通知醫師,反而顏色變淡或無引流才需警覺。","記憶法:膽道痛「右上腹→右肩背」走膽囊神經皮節(T5-T9)。腹膜炎三徵=腹脹、板狀腹(僵硬)、反彈痛加嘔吐。morphine 收縮 Oddi 括約肌的機轉源自其對膽道平滑肌的興奮作用,故膽絞痛避用;膽汁本為墨綠至黃褐色,術後引流量與顏色是判讀膽道通暢的指標。",[24,26,29,31],{"term":25,"count":10},"Oddi 括約肌痙攣",{"term":27,"count":28},"膽囊炎牽扯痛",1,{"term":30,"count":28},"腹膜炎徵象",{"term":32,"count":28},"T 型管膽汁引流",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-007","有關食道癌之敘述，下列何者錯誤？",7,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-003","有關腦膜炎病人接受腰椎穿刺檢查，下列敘述何者錯誤？",3,115,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-115-2-medical-surgical-047","有關糖化血色素（HbA1c）檢查之敘述，下列何者錯誤？",47,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-107-1-medical-surgical-035","有關保護性隔離之敘述，下列何者正確？",35,107,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-108-1-medical-surgical-079","有關登革熱之敘述，下列何者錯誤？",79,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-medical-surgical-033","有關病人心電圖 VT 之相關處置，下列何者正確？",33,109,"2026-09-04",1788510759519]