[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-051","nurse-106-2-medical-surgical-051",106,2,51,"肺炎病人合併低血氧時最早出現的精神狀態改變，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"昏迷","躁動不安","憂鬱","欣快感","B",null,[],"本題考點為低血氧(hypoxia)最早出現的神經精神變化。腦組織對缺氧極敏感,早期代償反應以交感神經興奮與大腦皮質功能失調表現,最先出現的是躁動不安、焦慮與注意力不集中,故 B 正確。A 昏迷是嚴重、晚期缺氧的表現,並非最早;C 憂鬱屬情緒疾患,與急性缺氧的即時神經表現無關;D 欣快感雖偶見於缺氧,但非最早且不如躁動不安具代表性。臨床辨識低血氧惡化的早期線索即為病人突然變得躁動不安,故選 B。","缺氧神經症狀的時序:早期『躁動不安、焦慮、心跳呼吸加快』(代償期)→中期意識混亂、判斷力下降→晚期嗜睡、昏迷、心搏過緩(失代償)。臨床鐵則:『新出現的躁動不安,先想低血氧,別急著給鎮靜劑』——鎮靜會掩蓋惡化。口訣:『先躁動、後糊塗、終昏迷』。",[24,27,29,31],{"term":25,"count":26},"低血氧(hypoxia)",1,{"term":28,"count":26},"腦部缺氧耐受性",{"term":30,"count":26},"躁動不安為早期徵象",{"term":32,"count":26},"意識狀態變化時序",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-medical-surgical-052","評估使用呼吸器病人其氣管內管位置正確性的方式，下列何者最適當？",52,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-medical-surgical-068","有關糖尿病性酮酸中毒病人的臨床表徵，下列何者正確？",68,107,{"webId":44,"stem":45,"number":10,"year":46,"session":26},"nurse-108-1-medical-surgical-002","有關正子電腦斷層攝影術（Positron Emission Tomography, PET）的敘述，下列何者正確？",108,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-1-medical-surgical-040","下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",40,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-medical-surgical-004","顱內動脈瘤（aneurysms）破裂導致蜘蛛膜下腔出血，進行神經學檢查時會出現的徵象，下列何者錯誤？",4,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-medical-surgical-038","有關癌症病人感染問題的照護與護理指導，下列何者正確？",38,111,"2026-09-04",1788510698730]