[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-072":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-106-2-內外科護理學-072","nurse-106-2-medical-surgical-072",106,2,72,"為路倒者執行心肺腦復甦術期間，當接上電擊器顯示為心搏停止，此時應執行之急救措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"立即開始給予 360 焦耳之電擊以去顫","立即開始給予 200 焦耳之電擊以去顫","先貼上膠狀之電擊貼片","繼續執行心肺腦復甦術","D",null,[],"本題考點在辨識心電圖節律以決定是否電擊。去顫（defibrillation）只對「可電擊節律」有效，即心室顫動（VF）與無脈搏心室頻脈（pulseless VT）。當監視器顯示為心搏停止（asystole，一直線），屬「不可電擊節律」，此時電擊無益，正確處置是持續高品質心肺腦復甦術並給予腎上腺素，故選 D。A、B 錯在對 asystole 施予電擊，且能量數值也非現行雙相波建議（雙相波約 120～200 焦耳、單相波 360 焦耳），但根本錯誤是節律本身不該電擊；C「先貼電擊貼片」在已接上電擊器判讀後並非當下急救動作，且對 asystole 電擊仍屬無效處置，皆不正確。","口訣「電擊只電抖動的心，不電停跳的心」：VF\u002Fpulseless VT 才電，asystole 與 PEA（無脈搏電氣活動）不電，改走 CPR＋adrenaline，並找尋可逆病因（5H5T）。asystole 面對一直線時，還應確認導程接觸與增益，排除假性 asystole（細顫誤判）。臨床設計此題在破除「接上電擊器就是要電」的迷思，強調節律判讀先於通電。高品質 CPR 指標：按壓深度 5～6 公分、速率 100～120 次／分、確實回彈、盡量不中斷。",[24,27,29,31,33],{"term":25,"count":26},"心搏停止asystole",1,{"term":28,"count":26},"可電擊節律VF\u002Fpulseless VT",{"term":30,"count":26},"去顫defibrillation",{"term":32,"count":26},"高品質CPR",{"term":34,"count":26},"腎上腺素adrenaline",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"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,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-2-medical-surgical-009","有關肝性腦病變之敘述，下列何者錯誤？",9,107,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-108-1-medical-surgical-023","有關鼻竇炎之敘述，下列何者錯誤？",23,108,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-109-1-medical-surgical-061","有關尿液檢查的敘述，下列何者錯誤？",61,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-025","有關感覺神經性聽力喪失的敘述，下列何者正確？",25,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-059","肺擴張不全病人的身體評估，下列發現何者正確？",59,111,"2026-09-04",1788510698935]