[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-107-1-內外科護理學-078","nurse-107-1-medical-surgical-078",107,1,78,"承上題，有關劉小弟的照護措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"立即進行檢查以確認無其他身體之損傷","給予利尿劑以促進肺部水分排出","密切觀察血壓變化以及早發現低血壓","提供加熱毯、烤燈或其他保溫措施以維持體溫正常","B",null,[],"本題考點為溺水合併肺水腫、低血壓、低體溫個案的照護重點。此個案的肺水腫屬非心因性(水分進入肺泡),且已呈現低血壓與脫水風險,依此病生理,給予利尿劑會進一步降低血容量、加重低血壓,故B「給予利尿劑以促進肺部水分排出」為錯誤照護。A立即檢查以排除其他外傷(溺水常伴頭頸創傷)適當;C密切監測血壓以早期發現低血壓惡化適當;D以加熱毯、烤燈保溫矯正低體溫(34℃)適當。核心處置應是維持氧合與循環,而非利尿脫水。","溺水肺損傷機轉:水破壞肺泡表面張力素、引發非心因性肺水腫與低血氧,治療重點是氧氣與正壓通氣(如PEEP)改善氧合,而非利尿。低體溫需主動復溫,且復溫過程要警覺「後續衰退(secondary drowning)」——溺水後數小時仍可能惡化,故需持續觀察。利尿劑僅適用於心因性肺水腫(左心衰竭、體液過量),用在已休克脫水的溺水病人反而有害,是常考的處置陷阱。",[24,27,29,31],{"term":25,"count":26},"非心因性肺水腫",6,{"term":28,"count":10},"溺水照護",{"term":30,"count":10},"利尿劑禁忌",{"term":32,"count":10},"低體溫復溫",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-079","下列何者為預防傳染病與減輕傳染病傷害最有效的方法？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-medical-surgical-015","有關迴腸造口手術後造瘻口的正常顏色，下列何者正確？",15,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-medical-surgical-029","有關骨掃描的敘述，下列何者正確？",29,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-medical-surgical-067","關於持續可攜帶式腹膜透析（CAPD）與血液透析（HD）治療的比較，下列何者正確？",67,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-medical-surgical-031","有關聽診心音之敘述，下列何者錯誤？",31,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-065","有關輸尿管結石常見之臨床症狀，下列何者錯誤？",65,112,"2026-09-04",1788510703211]