[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-109-1-內外科護理學-015","nurse-109-1-medical-surgical-015",109,1,15,"肝穿刺切片檢查時，為避免橫膈穿孔與肝臟撕裂傷，教導病人當針頭插入肝臟時應採取的動作，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"用力深呼吸","張開嘴巴說「啊」","數個深呼吸後，深吸氣並摒住呼吸","數個深呼吸後，深吐氣並摒住呼吸","D",null,[],"本題考點在於肝穿刺切片時的呼吸配合以固定橫膈與肝臟位置。肝臟位於右上腹橫膈下方，隨呼吸上下移動；針頭插入瞬間須讓橫膈上抬、肝臟固定不動，方法是「數個深呼吸後，深吐氣（吐盡）並摒住呼吸」，因吐氣末橫膈上升到最高、肝臟相對穩定，可避免橫膈穿孔與肝撕裂，故選D。選項A用力深呼吸會使橫膈下降、肝臟隨之移動增加撕裂風險；選項B張嘴說啊用於評估或聲門開放，與固定肝臟無關；選項C深吸氣摒住會使橫膈下移、肝臟下降，與所需方向相反。故正確為深吐氣後摒息。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840747337]