[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-017","nurse-115-2-medical-surgical-017",115,2,17,"心臟衰竭功能性分級第 4 級（NYHA Fc IV），最可能出現下列何種活動功能限制？",{"A":14,"B":15,"C":16,"D":17},"一般的日常活動都無不適","普通的日常活動會引起疲倦","需中等程度限制活動","即使休息仍會有心臟不適的症狀","D",null,[],"本題考點是紐約心臟學會(NYHA)心衰竭功能性分級的判讀。依分級定義,第一級為一般日常活動無任何不適;第二級在普通日常活動時出現疲倦、心悸或呼吸困難,休息可緩解;第三級輕度活動即引起症狀,需中等程度限制活動;第四級則是任何身體活動都無法承受,即使在休息狀態下仍有呼吸困難、疲倦等心臟不適,故選 D。A 對應第一級、B 對應第二級、C 對應第三級,都是逐級對號入座的干擾選項。此分級以症狀出現所需的活動量為判斷軸,愈高級代表可承受的活動量愈少。","與 NYHA 功能性分級並行的另一套是 ACC\u002FAHA 心衰竭分期(A 至 D 期):分期著眼於結構性心臟病與疾病進程,只會前進不會回退;NYHA 分級著眼於當下症狀,治療有效時可以由第三級改善回第二級,因此臨床上用來追蹤治療反應與擬定活動指導。實務連結:第一至二級可從事一般活動與規律有氧運動;第三級需分段活動、動作間安排休息;第四級以床上或床邊活動為主並著重能量節約與呼吸型態支持。症狀評估要同時記錄夜間陣發性呼吸困難、需墊幾個枕頭才能睡與體重快速增加等體液滯留線索。",[24,27,29,31],{"term":25,"count":26},"NYHA 功能性分級",1,{"term":28,"count":26},"心衰竭活動耐受度",{"term":30,"count":26},"休息時症狀",{"term":32,"count":26},"ACC\u002FAHA 心衰竭分期",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-018","有關急性心肌梗塞後病人的運動原則，下列敘述何者錯誤？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-medical-surgical-064","臨床上最可以早期診斷慢性腎絲球腎炎之檢查，下列何者正確？",64,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-medical-surgical-078","有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",78,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-medical-surgical-036","與乳癌有關的腫瘤標記，下列何者正確？",36,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-medical-surgical-080","病人因腰椎椎間盤突出接受手術治療，術後依醫囑需穿硬背架 3 個月，下列敘述何者錯誤？",80,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-034","有關心包膜積水的主要症狀，下列何者錯誤？",34,110,"2026-08-06",1787299037084]