[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-106-2-內外科護理學-042","nurse-106-2-medical-surgical-042",106,2,42,"有關一氧化碳中毒的臨床表徵，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"吐氣喘鳴聲及鼻翼煽動","黏膜出現櫻桃紅","痰液含有煤炭","咳嗽","B",null,[],"本題考點為一氧化碳(CO)中毒的特徵性表徵。CO 與血紅素的結合力約為氧氣的 200–250 倍,形成碳氧血紅素(COHb),使血紅素攜氧能力下降並讓血液及黏膜呈現鮮明的櫻桃紅色,這是 CO 中毒的典型體徵,故 B 正確。A 吐氣喘鳴與鼻翼煽動反映氣道阻塞或呼吸窘迫,屬非特異表現,非 CO 中毒特徵;C 痰中含煤炭屑常見於吸入性煙霧或塵肺,不是 CO 中毒的臨床標記;D 咳嗽為一般呼吸道刺激反應,無鑑別意義。CO 中毒因 COHb 使脈搏血氧飽和度假性正常,更需靠櫻桃紅膚色與 COHb 濃度判讀,故選 B。","關鍵陷阱:一般脈搏血氧儀(SpO₂)無法區分 COHb 與 O₂Hb,讀值會假性正常,故不能靠 SpO₂ 排除 CO 中毒,須測動脈 COHb。治療用 100% 純氧(甚至高壓氧)加速 CO 半衰期縮短——室內空氣半衰期約 4–5 小時,100% 氧約 60–90 分鐘。記憶:『櫻桃紅+頭痛頭暈+SpO₂ 假正常』三聯即想 CO。",[24,27,30,32],{"term":25,"count":26},"一氧化碳中毒",3,{"term":28,"count":29},"碳氧血紅素(COHb)",1,{"term":31,"count":29},"櫻桃紅黏膜",{"term":33,"count":29},"血氧飽和度假性正常",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-medical-surgical-043","有關嚴重燒傷病人急性期的疼痛處置，下列何者最適當？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-medical-surgical-059","有關服用抗結核菌藥物（Rifampin）病人尿液之顏色，下列何者正確？",59,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-medical-surgical-073","有關康氏症候群（Conn’s syndrome）之臨床表徵，下列何者正確？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-1-medical-surgical-031","下列血脂肪之檢驗值何者不正常？",31,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-110-1-medical-surgical-075","承上題，下列處置何者錯誤？",75,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,111,"2026-09-04",1788510698622]