[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-內外科護理學-014","nurse-107-2-medical-surgical-014",107,2,14,"王先生，25 歲，今早突感肚臍周圍疼痛且有噁心、食慾不振的現象，至醫院求診，護理師評估疼痛位置轉移到右下腹，懷疑為急性闌尾炎，下列何項檢查可明確確定病人問題？",{"A":14,"B":15,"C":16,"D":17},"觸診左上腹出現反彈痛","左肩出現輻射痛","閉孔肌徵象（obturator sign）陽性反應","墨菲氏徵象（Murphy's sign）陽性反應","C",null,[],"本題考點是急性闌尾炎的理學檢查徵象。病人由臍周轉移至右下腹痛,伴噁心、食慾不振,典型指向急性闌尾炎;閉孔肌徵象(obturator sign,被動內旋屈曲的髖關節誘發右下腹痛)陽性,反映發炎闌尾刺激閉孔內肌,可支持診斷,故選 C。A 錯誤:闌尾炎的反彈痛應在右下腹(McBurney 點),而非左上腹。B 錯誤:左肩輻射痛多見於脾臟破裂或橫膈刺激(Kehr's sign),與闌尾無關。D 錯誤:墨菲氏徵象(Murphy's sign)陽性是急性膽囊炎的表徵,非闌尾炎。四者中唯 C 的閉孔肌徵象與闌尾發炎相符,故為答案。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840750785]