[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-070":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":10},"nurse-106-2-內外科護理學-070","nurse-106-2-medical-surgical-070",106,2,70,"低血容積與脫水的病人會出現的臨床表徵，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"心跳過速","脈搏消失或呈絲脈","黏膜潮濕","心智狀況改變","C",null,[],"本題考點為低血容積與脫水的臨床表徵。體液容積不足時,身體以交感神經代償並出現組織灌流下降的徵象:心跳過速(A)、脈搏微弱呈絲脈(B)、腦灌流不足致心智狀態改變(D)、以及黏膜與皮膚『乾燥』。C 稱『黏膜潮濕』與脫水表現相反——脫水應為黏膜乾燥、皮膚飽脹度下降,故為不包括的錯誤選項,選 C。故選 C。","低血容積徵象整組:心搏過速(最早代償)、脈壓變窄與絲脈、姿勢性低血壓、黏膜乾燥、皮膚飽脹度差、尿量減少且尿比重升高、意識改變。黏膜『潮濕』代表容積尚足,是脫水的反向指標。評估脫水床邊看:黏膜乾、皮膚回彈慢、尿少而濃、心跳快。口訣:『脫水一組乾——嘴乾、皮乾、尿少、心跳快』。",[24,26,29,31,33],{"term":25,"count":10},"脫水",{"term":27,"count":28},"低血容積",1,{"term":30,"count":28},"黏膜乾燥",{"term":32,"count":28},"絲脈\u002F心搏過速",{"term":34,"count":28},"皮膚飽脹度與尿量",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-071","有關尿崩症病人的出院護理指導，下列何者不適當？",71,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"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":46,"stem":47,"number":48,"year":49,"session":28},"nurse-108-1-medical-surgical-021","與引起聽力問題有關之疾病，下列何者最不可能？",21,108,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-109-1-medical-surgical-059","有關急性腎盂腎炎之敘述，下列何者正確？①常見於下泌尿道上行性感染 ②常見有肋骨脊柱角處疼痛 ③紅血球沉降速率（ESR）下降 ④急性期時應大量攝取液體",59,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-023","有關接受鼻竇手術病人的護理指導，下列何者錯誤？",23,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-057","李先生為氣喘病人，目前使用 Aminophylline 靜脈輸注溶液，護理師得知李先生血清中的 Theophylline 濃度為 12 μg\u002FmL，此時最適當的護理措施為何？",57,111,"2026-09-04",1788510698925]