[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":61},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":26},"nurse-107-2-基本護理學與護理行政-022","nurse-107-2-fundamental-nursing-022",107,2,22,"承上題，小可出現的是何種輸血副作用？",{"A":15,"B":16,"C":17,"D":18},"過敏反應","急性溶血反應","類過敏反應","延遲性溶血反應","B",null,[],"本題考點為急性溶血性輸血反應的辨識。個案輸血後短時間內出現發燒、心搏過速、低血壓合併『血尿』，血尿是紅血球被破壞、血紅素經腎排出的關鍵指標，符合 ABO 血型不合造成的急性溶血反應，故選 B。A 過敏反應以蕁麻疹、搔癢為主，不會有血尿。C 類過敏反應(anaphylactoid)以呼吸道與循環衰竭為主，亦無血尿特徵。D 延遲性溶血反應多在輸血後數天至兩週才出現，與本題 10 分鐘內急性發作的時間不符。","急性溶血反應多因 ABO 不合，抗體攻擊供血紅血球致血管內溶血，釋出的血紅素造成血尿、寒顫高燒、腰背痛，嚴重可致 DIC 與急性腎損傷。與發燒性非溶血反應(僅發燒無血尿)、過敏反應(皮疹)鑑別的關鍵就是『血尿加循環衰竭』。時間軸也是線索：急性在輸血後 15 分鐘內，延遲性則數日後。",[25,27,29],{"term":16,"count":26},3,{"term":28,"count":11},"ABO 血型不合",{"term":30,"count":31},"血尿指標",1,[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-023","濕熱敷的應用比乾熱要更為小心，其理由下列何者錯誤？",23,{"webId":38,"stem":39,"number":40,"year":41,"session":31},"nurse-108-1-fundamental-nursing-039","有關體熱散熱方式的敘述，下列何者錯誤？",39,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-053","張小姐住院期間需留取常規尿液檢體，下列敘述何者正確？①最好是清晨第一次的中段尿 ②檢體收集後，最好於室溫 3 小時內送檢 ③若正值生理期，可用導尿方式取得檢體 ④檢體若 3 小時內無法送檢，應置於冰箱",53,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-110-1-fundamental-nursing-011","有關護理診斷的敘述，下列何者錯誤？",11,110,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-111-1-fundamental-nursing-055","有關屍僵的敘述，下列何者正確？①屍僵通常在死亡後 6～8 小時發生 ②屍僵乃因血液凝固而引起 ③小肌肉較大肌肉先發生屍僵 ④屍僵發生多由頭頸部開始",55,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-009","林先生是初診斷為糖尿病的病人，下列護理工作何者為協同性或相互依賴性護理功能？",9,112,"2026-09-04",1788510724314]