[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-074":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-074","nurse-106-2-medical-surgical-074",106,2,74,"有關促進中毒物質排出之方法，不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"使用瀉藥","酸化尿液","使用人工呼吸器","鹼化尿液","C",null,[],"本題考點在中毒處置中「促進毒物排出」的方法。促排原理有二：加速腸道排除（瀉藥導瀉、活性碳吸附）與加速腎臟排除（利用尿液酸鹼化改變藥物解離度，即離子捕捉原理，如鹼化尿液促水楊酸排出、酸化尿液促弱鹼性藥排出）。A 瀉藥、B 酸化尿液、D 鹼化尿液皆屬促排手段。人工呼吸器（C）是維持呼吸道與氧合的支持性維生措施，並不能促進毒物排出，故不包括在內、選 C。題目問「不包括」，即挑出非促排機轉者。","離子捕捉（ion trapping）機轉：弱酸性藥物（如 aspirin／水楊酸）在鹼性尿中解離成離子態不易被腎小管再吸收而排出，故「鹼化尿液治酸性藥中毒」；弱鹼性藥物則以酸化尿液促排。記憶對子「酸鹼相反促排」。其他去汙與清除法還有洗胃、活性碳、血液透析（適用小分子、低蛋白結合、水溶性毒物如 methanol、lithium）。人工呼吸器屬 ABC 生命支持，維持而非清除，此為本題辨識重點。",[24,27,29,31,33],{"term":25,"count":26},"中毒毒物清除",1,{"term":28,"count":26},"尿液酸鹼化",{"term":30,"count":26},"離子捕捉ion trapping",{"term":32,"count":26},"導瀉活性碳",{"term":34,"count":26},"人工呼吸器為支持性措施",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-075","有關腸病毒之敘述，下列何者錯誤？",75,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-2-medical-surgical-011","有關胃食道逆流的臨床表徵，下列何者最不常見？",11,107,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-108-1-medical-surgical-025","下列何者是 Heparin 之解毒劑？",25,108,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-109-1-medical-surgical-063","體液容積不足時之臨床表徵，下列何者正確？①口渴 ②體溫上升 ③尿比重下降 ④血比容積升高",63,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-027","有關高血壓病人服用 Propranolol（Inderal）的護理指導，下列何者正確？①需確認病人有無氣喘 ②服藥前宜先檢查心跳次數 ③副作用有低血鈉 ④副作用會造成脫水",27,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-061","有關腎臟結石常見的臨床症狀，下列何者錯誤？",61,111,"2026-09-04",1788510698955]