[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-032":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":26},"nurse-114-3-內外科護理學-032","nurse-114-3-medical-surgical-032",114,3,32,"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",{"A":14,"B":15,"C":16,"D":17},"①②","③④","①④","②③","C",null,[],"本題考點在於肺實質化(consolidation)的身體評估特徵。大葉性肺炎因肺泡被滲出物填滿而實質化,固體組織傳導聲音較佳,故①右胸觸覺震顫感增強、④支氣管語音(bronchophony)字音響亮清楚均為正確表現。②錯誤,實質化區叩診應呈「濁音」而非過度反響音(過度反響音見於肺氣腫等含氣過多情形);③錯誤,大葉性肺炎聽診典型為濕囉音(crackles)與支氣管呼吸音,喘鳴音(wheezing)則見於氣道狹窄如氣喘。故正確組合為①④,選C。","實質化使聲音傳導增強,故觸覺語顫增強、支氣管語音增強、羊鳴音(egophony,E轉A)、耳語胸語增強,叩診呈濁音,聽診有支氣管呼吸音與吸氣末濕囉音。對比氣胸或肺氣腫:含氣過多則叩診過度反響、語顫減弱。記憶:「實質化等於傳導變好,一切增強、叩診變濁」。",[24,27,30,32],{"term":25,"count":26},"觸覺震顫",2,{"term":28,"count":29},"肺實質化consolidation",1,{"term":31,"count":29},"支氣管語音bronchophony",{"term":33,"count":29},"叩診音",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-029","簡先生 6 小時前車禍意外造成全身 40%的熱燒傷，下列敘述何者正確？",29,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-073","關於糖化血色素（HbA1c）之敘述，下列何者正確？",73,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-031","有關評估交通靜脈與隱靜脈瓣功能之檢查，下列何者正確？",31,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-medical-surgical-075","病人發生休克時對肝臟系統之影響不包括下列何者？",75,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-029","有關長時間靜脈注射抗生素引發靜脈炎的護理措施，下列何者錯誤？",110,"2026-09-04",1788510762121]