[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-045":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-106-1-內外科護理學-045","nurse-106-1-medical-surgical-045",106,1,45,"有關燒傷病人利尿期出現代謝性酸中毒之原因，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"乳酸堆積","組織釋放酸性物質","重碳酸鹽增加","局部用藥 Sulfamylon 副作用","C",null,[],"本題考點為燒傷利尿期發生代謝性酸中毒的原因。燒傷後組織缺氧與大量細胞破壞：A乳酸堆積（無氧代謝）、B壞死組織釋放酸性物質、D局部用藥Sulfamylon（mafenide，碳酸酐酶抑制劑）副作用使碳酸氫鹽經腎流失而致酸中毒，皆為正確原因。C錯誤，重碳酸鹽增加會造成代謝性鹼中毒而非酸中毒；酸中毒時重碳酸鹽應是被消耗而下降，敘述方向相反，故選C。","代謝性酸中毒＝體內酸增加或鹼（HCO₃⁻）減少。燒傷病人酸源：組織灌流不足生乳酸、細胞崩解釋酸、Sulfamylon抑制碳酸酐酶致碳酸氫鹽流失。若HCO₃⁻反而上升則是鹼中毒，與題意矛盾。判讀酸鹼須同時看pH、PaCO₂與HCO₃⁻。",[24,27,30,31,33],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":29},"重碳酸鹽",2,{"term":14,"count":10},{"term":32,"count":10},"Sulfamylon碳酸酐酶抑制",{"term":34,"count":10},"燒傷利尿期",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-medical-surgical-046","預防疥瘡再發及傳染他人的護理指導，下列何者錯誤？",46,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-106-2-medical-surgical-062","正常成年人，若膀胱容積壓力正常，最大尿流速低於下列何者即顯示尿道出口有阻塞現象？",62,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-medical-surgical-076","中毒病人最優先之處置原則，下列何者正確？",76,107,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-108-2-medical-surgical-034","有關多發性骨髓瘤的臨床症狀，下列何者錯誤？",34,108,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-2-medical-surgical-078","下列何種情況之病人不適合接受低張靜脈溶液輸注？",78,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-032","下列血流動力學檢查結果何者正常？",32,111,"2026-09-04",1788510693090]