[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-080","nurse-106-2-medical-surgical-080",106,2,80,"有關體溫過低病人採取回溫措施期間的支持性處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"給予溫的靜脈輸液，以維持尿量","用人工呼吸器給予正壓及溫暖潮濕的氧氣","以重碳酸鈉改善代謝性酸中毒","體溫低於 30℃之自發性心室顫動，予以電擊","D","第80題一律給分",[],"本題考點在體溫過低（hypothermia）病人回溫期的支持性處置。重度低體溫（核心體溫低於 30℃）時心肌對電擊與藥物反應差，若出現心室顫動，通常先給予一次電擊，若無效應暫緩重複電擊與藥物，優先積極回溫至 30℃ 以上再依常規處置，故 D「體溫低於 30℃之自發性心室顫動即予電擊」的處置方向錯誤、選 D。A 對，給予加溫靜脈注射液屬核心回溫且維持尿量與循環；B 對，經呼吸器給予溫暖潮濕氧氣可經呼吸道回溫；C 對，低體溫常伴代謝性酸中毒，可依情況以碳酸氫鈉矯正。","口訣「沒到 30 度別急著電、別急著給藥」：低於 30℃ 心臟對去顫與腎上腺素反應不佳，且藥物代謝變慢易蓄積，故先回溫。回溫方式分被動外部（保暖毯）、主動外部（加溫毯）與主動核心（加溫靜脈輸液、溫暖濕化氧氣、體腔灌洗、體外循環）。臨床格言「未達正常體溫前不宣告死亡（not dead until warm and dead）」，因低溫具腦保護作用。此題辨識重點在低體溫下急救流程與常溫不同。",[24,27,29,31,33],{"term":25,"count":26},"體溫過低hypothermia",1,{"term":28,"count":26},"核心體溫低於30°C",{"term":30,"count":26},"回溫措施分類",{"term":32,"count":26},"低溫心室顫動處置",{"term":34,"count":26},"碳酸氫鈉矯正代謝性酸中毒",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":26,"year":39,"session":26},"nurse-107-1-medical-surgical-001","有關小腦病變之評估結果，下列何者錯誤？",107,{"webId":41,"stem":42,"number":43,"year":39,"session":10},"nurse-107-2-medical-surgical-017","有關骨折病人使用勃克式牽引（Buck’s traction）的敘述，下列何者錯誤？",17,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-108-1-medical-surgical-031","主要症狀為腹水、下肢水腫及肝脾腫大之瓣膜性心臟病病人，其最可能的瓣膜問題為下列何者？",31,108,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-109-1-medical-surgical-069","有關重症病人常發生高血糖狀態，下列何者為最可能之原因？",69,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-medical-surgical-033","評估時請病人快速彎曲足背，如果出現小腿疼痛，表示為下列何種徵象？",33,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-medical-surgical-067","下列何者可能出現膀胱容量增加？",67,111,"2026-09-04",1788510699030]