[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-031":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-114-3-內外科護理學-031","nurse-114-3-medical-surgical-031",114,3,31,"有關急性支氣管炎，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"是常見的上呼吸道感染","是指喉部和氣管黏膜發生急性瀰漫性炎症反應","若為病毒性感染，Ampicillin 通常為第一選擇","衛教個案充分休息、均衡飲食及攝取足夠水分","D",null,[],"本題考點在於急性支氣管炎的定義、部位與處置。正解D:急性支氣管炎多為病毒引起、具自限性,照護以支持療法為主,衛教充分休息、均衡飲食與足夠水分以稀釋痰液、促進復原,故最適當。A錯誤,支氣管屬「下」呼吸道,急性支氣管炎並非上呼吸道感染;B錯誤,其病變在「支氣管」黏膜的瀰漫性發炎,喉部與氣管發炎應稱喉氣管炎,部位描述不符;C錯誤,病毒性感染使用抗生素(如Ampicillin)無效且不應作為首選,僅細菌性續發感染才考慮抗生素。故選D。","急性支氣管炎九成以上為病毒感染(流感、腺病毒等),特徵是咳嗽持續約1至3週,不需常規使用抗生素,濫用反而增加抗藥性。與肺炎鑑別:支氣管炎胸部X光通常正常、無肺實質浸潤。記憶:「病毒自限、支持為主、多水多休息」。",[24,27,29,31],{"term":25,"count":26},"急性支氣管炎",1,{"term":28,"count":26},"下呼吸道",{"term":30,"count":26},"病毒自限性",{"term":32,"count":26},"抗生素適應症",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-medical-surgical-032","60 歲病人，右胸疼痛、發燒、呼吸喘，且咳嗽有大量黃綠色痰液，診斷右肺大葉性肺炎入院。下列何者為其最可能出現的身體評估檢查結果？①右胸觸覺震顫感增強 ②叩診右胸為過度反響音 ③聽診右胸出現喘鳴音 ④右胸支氣管語音字音響亮清楚",32,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-medical-surgical-028","下列何項檢驗項目與傳染性疾病較無關？",28,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-medical-surgical-072","有關甲狀腺機能亢進之護理指導，下列何者錯誤？",72,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-medical-surgical-030","有關心絞痛病人使用硝酸甘油之護理指導，下列何者錯誤？",30,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-medical-surgical-074","有關水分剝削試驗（Water Deprivation Test）之敘述，下列何者錯誤？",74,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-medical-surgical-028","下列何者最可能為腹主動脈瘤病人的病史或身體檢查與評估的結果？",110,"2026-09-04",1788510762108]