# 護理師聽診病人後側肺底部。請聆聽錄音。哪項記錄最為準確？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

護理師聽診病人後側肺底部。請聆聽錄音。哪項記錄最為準確？

Your browser does not support audio playback.

🎧Respiratory auscultation recording

Use headphones if available. You may replay the recording.

1

不連續的吸氣性爆裂音

✕

2

持續性呼氣性喘鳴音

✕

3

符合喘鳴的粗糙吸氣性聲音

✕

4

肋膜摩擦音

✕

## 解析

錄音中可聽到吸氣時出現的不連續爆裂音。護理師應記錄聽診發現，而非僅由聲音推斷診斷。

## 深入解析

快速解答
記錄為不連續的吸氣性爆裂音。
臨床推理
該聲音為間歇性而非持續性，且於吸氣時聽到。單憑聲音無法確立肺炎、肺水腫或其他診斷，因此答案應停留在評估發現的層面。
音檔出處
James Heilman, MD · CC-BY-SA-3.0
**參考資料**
- NCBI Bookshelf — Nursing Skills: Respiratory Assessment

- Audio source and license record

## 重要概念

- **Crackles** — 短暫、不連續的附加呼吸音，最常於吸氣時聽到。
- **Adventitious breath sound** — 肺部聽診時聽到的額外或異常聲音。

## 相同主題題目

- [A nurse is caring for an alert adult client with type 1 diabetes who reports tremors, swea…](https://mymerci.kr/pages/nclex_q.php?qn_id=360524&lang=zh-tw)
- [A 58-year-old client arrives at the emergency department with crushing substernal chest pa…](https://mymerci.kr/pages/nclex_q.php?qn_id=362976&lang=zh-tw)
- [A 72-year-old client is brought to the emergency department by family who report that the …](https://mymerci.kr/pages/nclex_q.php?qn_id=363003&lang=zh-tw)
- [A 79-year-old client is admitted from a long-term care facility with diarrhea, decreased o…](https://mymerci.kr/pages/nclex_q.php?qn_id=363089&lang=zh-tw)
- [A 68-year-old client is admitted to the emergency department with suspected sepsis from a …](https://mymerci.kr/pages/nclex_q.php?qn_id=363987&lang=zh-tw)
- [A nurse is caring for an adult client in the emergency department who is suspected to have…](https://mymerci.kr/pages/nclex_q.php?qn_id=363993&lang=zh-tw)
- [A nurse is teaching a 72-year-old client with chronic heart failure (reduced ejection frac…](https://mymerci.kr/pages/nclex_q.php?qn_id=366202&lang=zh-tw)
- [A nurse is caring for an adult client admitted with diabetic ketoacidosis. Laboratory resu…](https://mymerci.kr/pages/nclex_q.php?qn_id=366294&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=604455&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_