[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-056","nurse-106-1-medical-surgical-056",106,1,56,"有關病人動脈血液氣體分析結果：pH 7.30、PaCO 2 40 mmHg、HCO 3 － 18 mEq\u002FL、PaO 2 70 mmHg、 O 2 Saturation 93%之判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"未代償之呼吸性酸中毒","過度代償之呼吸性鹼中毒","未代償之代謝性酸中毒","過度代償之代謝性鹼中毒","C",null,[],"本題考點為動脈血液氣體分析的判讀步驟。pH 7.30 低於正常 7.35，屬酸中毒;HCO₃⁻ 18 mEq\u002FL 低於正常 22–26，其下降方向與酸中毒一致，判定為代謝性酸中毒;PaCO₂ 40 mmHg 仍在正常 35–45 範圍未下降，代表呼吸系統尚未進行代償，故為未代償之代謝性酸中毒，選 C。A 呼吸性酸中毒須 PaCO₂ 上升;B 與 D 為鹼中毒，與 pH 偏酸的結果不符，皆可排除。","判讀口訣:先看 pH 定酸鹼→再看 CO₂(呼吸)與 HCO₃⁻(代謝)何者與 pH 同向即為主因→最後看另一項是否代償。CO₂ 仍正常代表尚未代償;若已代償 CO₂ 應下降以拉回 pH。本題 HCO₃⁻↓、CO₂ 正常,故為未代償代謝性酸中毒。",[24,27,30,33],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":29},"動脈血液氣體分析",10,{"term":31,"count":32},"呼吸代償",5,{"term":34,"count":10},"HCO3− 正常值",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-medical-surgical-057","使用下列那一種肺結核治療藥物不需監測肝功能？",57,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-106-2-medical-surgical-073","有關診斷敗血症之檢驗項目，下列何者錯誤？",73,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-107-2-medical-surgical-007","有關阿茲海默氏症病人的臨床表徵，下列何者正確？①短期記憶缺失 ②長期記憶缺失 ③易怒 ④失去定向力",7,107,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-108-2-medical-surgical-045","有關燒傷病人的緊急處理措施 5 步驟之敘述，下列何者錯誤？",45,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-1-medical-surgical-009","有關吸收不良症候群的臨床表徵，下列何者正確？",9,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-medical-surgical-043","有關前列腺癌之敘述，下列何者正確？",43,111,"2026-09-04",1788510693227]