[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-016":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":25},"nurse-114-2-內外科護理學-016","nurse-114-2-medical-surgical-016",114,2,16,"下列何者為左心衰竭的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"下肢水腫","肝脾腫大","中心靜脈壓上升","端坐呼吸","D",null,[],"本題考點在於左心衰竭與右心衰竭的臨床表徵區辨。依血流動力學,左心衰竭時左心室無法有效搏出血液,血液鬱積於肺循環造成肺充血,表現為呼吸困難、端坐呼吸與夜間陣發性呼吸困難,故選 D 端坐呼吸。A 下肢水腫、B 肝脾腫大、C 中心靜脈壓上升皆為右心衰竭時血液鬱積於體循環的表徵,與左心衰竭肺部鬱血的表現不同,故排除。","口訣:「左心衰看肺、右心衰看身」。左心衰→肺靜脈壓上升→肺水腫→端坐呼吸(坐起減少靜脈回流、降低肺鬱血)。右心衰→體靜脈壓上升→頸靜脈怒張、肝腫大、下肢凹陷性水腫、CVP 上升。臨床上左心衰久了會拖垮右心形成全心衰竭,是心臟代償失敗的連鎖結果。",[24,26,29,31],{"term":17,"count":25},7,{"term":27,"count":28},"左心衰竭",6,{"term":30,"count":10},"肺充血",{"term":32,"count":33},"右心衰竭區辨",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-medical-surgical-017","有關心臟復健之敘述，下列何者正確？①依基礎代謝率（BMR）選擇活動內容 ②依代謝當量（MET）選擇活動內容 ③為增加心肺耐力，鼓勵做有氧運動 ④為加強肌肉力量，鼓勵等長運動",17,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-115-1-medical-surgical-013","有關急性中耳炎的醫療處置，下列何者錯誤？",13,115,{"webId":45,"stem":46,"number":25,"year":47,"session":33},"nurse-106-1-medical-surgical-007","江先生，85 歲，於 1 個月前頭部不小心撞到門框，當時並無任何異狀，但近來常出現記憶力差、嗜睡等症狀，今早因意識越來越差，由家屬送至急診，經電腦斷層掃描診斷為慢性硬膜下出血，下列敘述何者正確？",106,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-107-1-medical-surgical-045","有關燒傷病人植皮前後之護理措施，下列何者錯誤？",45,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-009","有關上消化道出血的臨床表徵，下列何者正確？",9,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-043","有關癌症治療對口腔黏膜之影響與處置，下列敘述何者正確？",43,109,"2026-09-04",1788510759604]