[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-010":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-115-1-內外科護理學-010","nurse-115-1-medical-surgical-010",115,1,10,"因闌尾炎破裂而懷疑有腹膜炎病人之臨床表徵，下列何者正確？①觸診腹部僵硬           ②強烈的反彈痛 ③腸蠕動音增加    ④腹部叩診為實音",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","A",null,[],"本題考點是腹膜炎的腹部評估特徵。依腹膜受化學性與細菌性刺激後的反射性肌肉防衛,腹壁肌肉持續收縮形成板狀腹,觸診呈僵硬,①正確;放手瞬間腹膜被牽動而產生強烈反彈痛,②正確,故選 A。③錯:腹膜發炎會引起麻痺性腸阻塞,腸蠕動音減弱甚至消失,而非增加,腸音增加多見於機械性腸阻塞早期。④錯:腸道因麻痺而積氣膨脹,叩診多為鼓音,只有腹腔累積大量液體時特定部位才會轉為濁音,把整體叩診說成實音不符典型表現。","腹膜炎的評估邏輯可用「硬、痛、靜、脹」四字掌握:腹壁硬(肌肉防衛)、反彈痛(腹膜刺激徵象)、腸音靜(麻痺性腸阻塞)、腹部脹(積氣)。闌尾破裂時原本局限於右下腹的壓痛會擴散為全腹痛,病人常膝屈側臥以減少腹膜牽扯,並伴發燒、心跳加快與白血球上升。反彈痛與 Rovsing 徵象、腰大肌徵象一樣屬間接腹膜刺激測試。影像上橫膈下游離氣體提示中空器官破裂。延伸複習:術後半坐臥位促膿液引流至骨盆腔的理由、腹腔內感染的體液流失與敗血性休克風險。",[24,27,29,31],{"term":25,"count":26},"腹膜刺激徵象",4,{"term":28,"count":26},"麻痺性腸阻塞",{"term":30,"count":10},"肌肉防衛與板狀腹",{"term":32,"count":10},"闌尾破裂",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-medical-surgical-011","病人因左側股骨骨折而接受石膏制動之治療，下列敘述何者錯誤？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-medical-surgical-007","江先生，85 歲，於 1 個月前頭部不小心撞到門框，當時並無任何異狀，但近來常出現記憶力差、嗜睡等症狀，今早因意識越來越差，由家屬送至急診，經電腦斷層掃描診斷為慢性硬膜下出血，下列敘述何者正確？",7,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-medical-surgical-021","有關白內障症狀之敘述，下列何者錯誤？",21,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-medical-surgical-059","有關預防尿路結石復發的護理指導，下列何者正確？",59,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-medical-surgical-023","有關扁桃腺炎病人接受扁桃腺切除術之敘述，下列何者錯誤？",23,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-medical-surgical-057","下列那一種肺癌生長最快速，且最惡性但對化學及放射線治療敏感？",57,110,"2026-08-06",1787299088628]