[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-054":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-111-2-內外科護理學-054","nurse-111-2-medical-surgical-054",111,2,54,"有關移除胸管的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"水封瓶液面，隨呼吸上下浮動，表示可拔除胸管","拔管前，應提前給予止痛劑","拔管時，應請病人深吸氣後閉氣再拔出胸管","拔管後，應以無菌凡士林紗布覆蓋傷口","A",null,[],"本題考點在於胸管移除的正確指標與步驟，選錯誤者。水封瓶液面隨呼吸上下浮動（tidaling）代表胸腔與引流系統相通、肺尚未完全擴張，是引流仍在運作的正常現象，並非可拔管依據；真正可拔管的指標是引流量顯著減少、無漏氣、X光顯示肺已復張，故 A 敘述錯誤為答案。考點在於區分「系統運作正常」與「可拔除」是兩回事。B 拔管會牽扯胸壁與肋膜引起疼痛，事前給止痛劑正確。C 拔管時請病人深吸氣後閉氣（做 Valsalva 動作），使胸腔內壓上升、防止空氣趁隙進入肋膜腔造成氣胸，做法正確。D 拔管後以無菌凡士林紗布密封傷口可防止空氣經傷口進入，做法正確。",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？",6,1783840780597]