[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-107-1-內外科護理學-076","nurse-107-1-medical-surgical-076",107,1,76,"中毒病人最優先之處置原則，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"確定中毒物質","清除中毒物質","穩定生命徵象","查詢中毒物質之訊息","C",null,[],"本題考點為中毒病人的處置優先順序。急救一律遵循ABC(呼吸道、呼吸、循環)原則,依此原則,維持生命徵象穩定永遠優先於其他步驟,故最優先為C「穩定生命徵象」。A確定中毒物質、B清除中毒物質、D查詢中毒物質訊息雖然都是重要處置,但都建立在病人生命徵象穩定的前提上;若病人已呼吸衰竭或休克,仍先辨識毒物將延誤救命。本題核心在辨識「先保命、再處理病因」的急救共通順序。","中毒處置的整體流程:先ABC穩定生命徵象與氣道保護,再進行去污染(decontamination,如洗胃、活性碳、皮膚沖洗)、給予拮抗劑(antidote)、促進排除(強制利尿、血液透析)與支持療法。判斷是否洗胃或用活性碳有時間窗與禁忌(如腐蝕性物質、意識不清未保護氣道者不宜催吐)。記憶:任何急重症皆以「命先於因」為鐵則,先讓病人活著,才有機會處理毒物本身。",[24,26,28,30],{"term":25,"count":10},"中毒處置",{"term":27,"count":10},"ABC急救原則",{"term":29,"count":10},"生命徵象穩定優先",{"term":31,"count":10},"去污染",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-077","劉小弟 13 歲，至海邊戲水不慎發生溺水，到達急診時體溫：34℃、心跳：102 次\u002F分、呼吸：32 次\u002F分、血壓：80\u002F60 mmHg，呼吸音出現瀰漫性水泡音，胸部 X 光呈現肺水腫。依據上述資料，以臺灣急診檢傷急迫度分級量表（TTAS）判斷病人目前溺水之嚴重程度，下列何者正確？",77,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-medical-surgical-013","有關膽結石引起膽囊炎合併總膽管阻塞病人的糞便顏色，下列何者正確？",13,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-medical-surgical-027","針對左心室射出率（EVEF）為 12%，有端坐呼吸且雙側下肢水腫厲害的心臟衰竭病人之護理，下列何者較不適當？",27,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-medical-surgical-065","腎臟肌酸酐清除率（CCr）正常值範圍是多少 mL\u002Fmin？",65,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-medical-surgical-029","有關裝置心臟節律器之護理指導，下列何者錯誤？",29,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-063","有關抗利尿激素分泌不當症候群（SIADH）病人之臨床表徵，下列何者錯誤？",63,112,"2026-09-04",1788510703182]