[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":26},"nurse-106-1-基本護理學與護理行政-025","nurse-106-1-fundamental-nursing-025",106,1,25,"輸血最初 5 至 15 分鐘發生寒顫、心搏過速、呼吸困難、血壓下降、無尿，則病人可能發生何種反應？",{"A":15,"B":16,"C":17,"D":18},"過敏反應","熱原反應","急性溶血反應","循環血量負荷過重","C",null,[],"本題考點為輸血反應的鑑別。最初 5–15 分鐘即出現寒顫、心搏過速、呼吸困難、血壓下降與無尿，屬 ABO 血型不合引發的急性溶血反應，紅血球被破壞釋出血紅素導致腎衰竭（無尿）與休克，故選 C。A 過敏反應以蕁麻疹、搔癢為主；B 熱原反應以發燒畏寒為主、少見血壓下降無尿；D 循環負荷過重以呼吸困難、肺水腫、血壓上升為特徵。故為急性溶血反應。","急性溶血反應最早、最致命，關鍵字『發生快＋血壓降＋無尿（血紅素阻塞腎小管）』。與熱原反應（只發燒）、過敏（皮疹）、TACO（血壓升、肺水腫）逐一對比可快速判別。發生時的原則是立即停止輸血並維持腎灌流。",[25,27,30,32],{"term":17,"count":26},3,{"term":28,"count":29},"ABO 血型不合",2,{"term":31,"count":29},"輸血反應鑑別",{"term":33,"count":11},"血紅素尿與無尿",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-fundamental-nursing-026","有關睡眠的敘述，下列何者正確？①快速動眼期的腦波圖呈現 β 波，很容易被叫醒 ②非快速動眼期第三期的腦波圖呈現 δ 波，呼吸速率及血壓下降 ③非快速動眼期第二期的腦波圖呈現θ波，容易被叫醒 ④非快速動眼期第四期的腦波圖呈現 δ 波，可能出現尿床及磨牙 ⑤當睡眠中斷時，必須從快速動眼期開始入睡",26,{"webId":40,"stem":41,"number":42,"year":10,"session":29},"nurse-106-2-fundamental-nursing-042","發燒初期（onset），病人出現的症狀，下列何者正確？①呼吸速率加快 ②呼吸速率不變 ③呼吸速率變慢 ④皮膚較蒼白 ⑤皮膚顏色不變 ⑥皮膚發紅",42,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-107-1-fundamental-nursing-056","陳先生，意識清楚，診斷腎絲球腎炎，醫師開立收集 24 小時尿液作肌酸酐廓清（CCr）試驗之醫囑，下列尿液收集程序何者最正確？",56,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-fundamental-nursing-014","有關臺灣 2012 年修訂的「腦死判定準則」，下列敘述何者錯誤？",14,108,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-109-2-fundamental-nursing-058","有關彼得‧杜拉克（Peter F. Drucker）所提的目標管理（management by objective；MBO）之敘述，下列何者正確？①是一個過程導向的系統管理模式 ②藉由參與式管理逐層轉化 ③目標為激勵部屬的工具 ④部屬可以自我控制進度 ⑤評價時以部屬成效為根據",58,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-111-1-fundamental-nursing-012","盧女士行乳房切除術，乏人照料，護理人員親自為其進行床上沐浴時，蒐集到下列資料，何者屬於急性疼痛的主觀資料？",12,111,"2026-09-04",1788510691942]