[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-106-1-內外科護理學-051","nurse-106-1-medical-surgical-051",106,1,51,"在正常生理狀態下，下列何者為刺激呼吸中樞而影響呼吸之主要物質？",{"A":14,"B":15,"C":16,"D":17},"二氧化碳","氧","鈣離子","鉀離子","A",null,[],"本題考點為呼吸中樞的化學調節機轉。依延腦中樞化學受器的作用原理，血中二氧化碳分壓升高時會使腦脊髓液的氫離子濃度上升，直接刺激延腦呼吸中樞增加通氣量，故正常生理狀態下二氧化碳是調節呼吸的主要物質，選 A。B 氧氣是經由頸動脈體與主動脈體的周邊化學受器作用，且屬缺氧時才啟動的次要驅動，並非主要調控;C 鈣離子與 D 鉀離子主要影響神經肌肉興奮性與心律，並非呼吸中樞的主要調節物質。","記憶重點:正常呼吸由「CO₂ 中樞驅動」主導，缺氧驅動屬備援。慢性阻塞性肺病病人長期 CO₂ 滯留使中樞對 CO₂ 反應鈍化，改以低血氧為呼吸驅動，故給氧須謹慎控制濃度，此為臨床設計此考點的延伸意義。",[24,26,28,30],{"term":25,"count":10},"延腦呼吸中樞",{"term":27,"count":10},"中樞化學受器",{"term":29,"count":10},"二氧化碳分壓",{"term":31,"count":10},"周邊化學受器",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-medical-surgical-052","有關肺栓塞之預防措施，下列何者最重要？",52,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-medical-surgical-068","有關腦下垂體前葉分泌之激素，不包括下列何者？",68,2,{"webId":43,"stem":44,"number":41,"year":45,"session":41},"nurse-107-2-medical-surgical-002","有關維持頭部手術後病人腦組織灌流壓之措施，下列何者錯誤？",107,{"webId":47,"stem":48,"number":49,"year":50,"session":41},"nurse-108-2-medical-surgical-040","有關病毒感染與罹患癌症相關性之敘述，下列何者錯誤？",40,108,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-1-medical-surgical-004","因車禍造成左側胸椎第 6 節受傷的病人，出現脊髓半側截斷症候群，下列敘述何者正確？",4,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-medical-surgical-038","有關特異性血小板減少性紫斑症之敘述，下列何者正確？①可能與自體免疫疾病有關 ②骨髓檢查可發現巨核細胞增加 ③須避免使用 Aspirin 的藥物 ④經常發生於細菌感染後",38,111,"2026-09-04",1788510693166]