[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-115-2-內外科護理學-006","nurse-115-2-medical-surgical-006",115,2,6,"有關腸阻塞之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"小腸阻塞的病人常見噴射性嘔吐","腹部絞痛為常見的臨床表徵之一","疝氣可能是機械性腸阻塞的病因之一","可能出現高血壓的臨床表徵","D",null,[],"本題考點是腸阻塞的臨床表徵。依病生理,腸道阻塞後大量體液滯留腸腔並經嘔吐流失,加上腸壁水腫、液體滲入腹腔形成第三空間,病人呈現血液容積不足,典型徵象是心跳加快、血壓下降,嚴重時進入低血容積性休克,不會出現高血壓,故錯誤敘述為 D。A 正確,阻塞位置愈高(小腸近端)嘔吐愈早、量愈多且可呈噴射狀。B 正確,腸蠕動試圖突破阻塞處而產生陣發性絞痛與高亢腸音。C 正確,疝氣、腸扭轉、腸套疊、術後黏連與腫瘤都屬機械性腸阻塞的常見病因。","分類先分機械性(黏連、疝氣、腫瘤、腸扭轉)與功能性(麻痺性腸阻塞,常見於術後、腹膜炎、電解質不平衡)。再依高低位對比:高位阻塞早嘔吐、腹脹輕微、因胃酸大量流失易呈代謝性鹼中毒與低血鉀低血氯;低位阻塞嘔吐晚且可帶糞臭味、腹脹明顯、因鹼性腸液流失易呈代謝性酸中毒。護理重點是禁食、鼻胃管減壓、精確記錄輸入輸出量與腹圍、監測電解質並補充液體。腸音由高亢轉為消失、腹痛由陣發變持續並伴發燒與白血球上升,提示可能絞扼壞死。",[24,27,30,33],{"term":25,"count":26},"低血容積性休克",4,{"term":28,"count":29},"腸阻塞",3,{"term":31,"count":32},"第三空間體液滯留",1,{"term":34,"count":32},"機械性阻塞病因",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-007","有關急性膽囊炎的敘述，下列何者正確？",7,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-medical-surgical-053","下列何者是肺氣腫造成氧氣供應減少的主要原因？",53,106,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-106-2-medical-surgical-067","有關第 2 型糖尿病之敘述，下列何者正確？",67,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-108-1-medical-surgical-025","下列何者是 Heparin 之解毒劑？",25,108,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-medical-surgical-069","有關重症病人常發生高血糖狀態，下列何者為最可能之原因？",69,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-2-medical-surgical-023","有關接受鼻竇手術病人的護理指導，下列何者錯誤？",23,110,"2026-08-06",1787299037001]