[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-035":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-035","nurse-114-3-medical-surgical-035",114,3,35,"有關肺心症病人呼吸道清除功能失效問題之護理處置，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵每日飲水至少 2,500 c.c.","協助胸部叩擊、震顫","教導深呼吸、咳嗽","給予支氣管擴張劑","A",null,[],"本題考點在於肺心症合併右心衰竭時的水分限制。本題為反向題,要選最不適當者。錯誤做法為A:肺心症(cor pulmonale)常因慢性肺病導致右心衰竭與體液滯留,若鼓勵每日飲水達2,500 c.c.會增加循環容積、加重水腫與心臟負荷,故不適當;痰液稀釋宜以濕化、蒸氣等方式而非大量飲水。B協助胸部叩擊與震顫可鬆動痰液、C教導深呼吸與有效咳嗽能促進排痰、D給予支氣管擴張劑可擴張氣道利於痰液排出,三者對「呼吸道清除功能失效」皆為適當處置。故最不適當為A。","肺心症是慢性肺病(如COPD)導致肺動脈高壓、右心室肥大與衰竭。右心衰竭處置重點為限水限鈉、利尿以減少前負荷。一般痰稠病人常鼓勵飲水2000至3000 c.c.,但合併心衰竭者需個別限制——這正是本題陷阱:同樣「多喝水化痰」的原則,遇心衰竭時要讓步。",[24,27,29,31],{"term":25,"count":26},"肺心症cor pulmonale",1,{"term":28,"count":26},"右心衰竭體液滯留",{"term":30,"count":26},"水分限制",{"term":32,"count":26},"呼吸道清除功能",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-medical-surgical-036","有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-medical-surgical-032","有關參與免疫反應的細胞之敘述，下列何者正確？",32,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-medical-surgical-076","有關巴拉刈（Paraquat）中毒之敘述，下列何者錯誤？",76,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-medical-surgical-034","有氣喘病史的高血壓病人應避免使用下列何類藥物，以預防病人支氣管痙攣導致氣喘發作？",34,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-medical-surgical-078","有關自動體外心臟去顫器（AED）之敘述，下列何者錯誤？",78,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-medical-surgical-032","有關心臟血管系統的診斷檢查結果，下列敘述何者正確？",110,"2026-09-04",1788510762145]