[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-114-3-內外科護理學-006","nurse-114-3-medical-surgical-006",114,3,6,"有關小腸阻塞的臨床表徵與評估，下列敘述何者最適當？①劍突下可見強蠕動波 ②嘔吐物含糞便臭味 ③鈉、鉀、氯值降低 ④阻塞早期腸蠕動音消失",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在於小腸阻塞的臨床表徵與評估。考點在於機械性阻塞的病生理:①腸道近端劇烈蠕動,劍突下可見強蠕動波;②腸內容物滯留發酵逆流,嘔吐物帶糞便臭味;③反覆嘔吐與體液滯留於腸腔造成鈉、鉀、氯下降,故正確組合為①②③,選 A。④『阻塞早期腸蠕動音消失』錯誤,機械性阻塞早期腸蠕動音反而亢進、呈金屬高亢聲,要到後期腸道疲乏或發生腸缺血壞死才轉為消失。含④的 B、C、D 皆不成立,因此答案為①②③。","小腸阻塞分機械性與麻痺性。機械性阻塞早期蠕動音亢進(想把阻塞往前推),伴陣發性絞痛與可見蠕動波;高位阻塞嘔吐早且劇烈,易失氯與鉀致代謝性鹼中毒與脫水;低位阻塞可見糞臭嘔吐。麻痺性腸阻塞則腸蠕動音一開始就減弱或消失。護理重點含禁食、鼻胃管減壓、監測電解質與體液平衡。記憶:機械阻塞先『鬧』後『啞』。",[24,27,30],{"term":25,"count":26},"電解質流失",2,{"term":28,"count":29},"小腸機械性阻塞",1,{"term":31,"count":29},"腸蠕動音亢進",[33,37,41,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-3-medical-surgical-007","有關胃食道逆流之護理指導，下列敘述何者最適當？①採床頭抬高的姿勢睡覺 ②穿緊身衣防止胃內容物逆流 ③進食後需躺平休息 ④避免提重物或彎腰運動",7,{"webId":38,"stem":39,"number":10,"year":40,"session":26},"nurse-115-2-medical-surgical-003","有關成人腦室外引流系統裝置的護理措施，下列敘述何者錯誤？",115,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-106-1-medical-surgical-047","有關異位性過敏病人之護理指導，下列何者正確？",47,106,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-107-2-medical-surgical-005","有關抗癲癇藥物 dilantin 之敘述，下列何者正確？",5,107,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-108-2-medical-surgical-049","HIV 抗體試驗呈陽性，且 T 4 細胞數目為 650 cells\u002Fmm 3 、占所有淋巴球之 35%的病人，最可能處在 HIV 疾病那一期？",49,108,{"webId":57,"stem":58,"number":10,"year":59,"session":29},"nurse-110-1-medical-surgical-003","下列何者為重症肌無力病人最早受到影響的肌肉？",110,"2026-09-04",1788510761891]