[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-036":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":27},"nurse-107-2-基本護理學與護理行政-036","nurse-107-2-fundamental-nursing-036",107,2,36,"有關體溫過低的症狀，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"體溫低於 33℃時意識會喪失","發冷發抖、皮膚蒼白、冰冷","呼吸心跳變快","尿量增加","B","第36題答Ａ或Ｂ者均給分",[],"本題考點為體溫過低(hypothermia)的臨床表現。體溫過低早期身體啟動產熱代償，出現發冷、發抖(顫抖產熱)、皮膚因周邊血管收縮而蒼白、冰冷，故 B 正確。A 錯誤，體溫低於 33°C 通常僅意識混亂，真正意識喪失多在體溫降至約 30°C 以下，敘述過早。C 錯誤，體溫過低時呼吸與心跳應變慢而非變快。D 錯誤，體溫過低周邊血管收縮雖有冷利尿現象，但整體代謝下降，並非以尿量增加為典型表現，故均不選。","低體溫代償順序：先發抖產熱、周邊血管收縮保留核心體溫(故皮膚蒼白冰冷)，隨體溫續降，代謝、呼吸、心跳、意識逐級抑制。臨床分期概念：輕度 32–35°C 仍發抖清醒；中度 28–32°C 發抖停止、意識模糊；重度低於 28°C 昏迷、心律不整。故 A 以 33°C 即喪失意識不符分期。",[25,28,30],{"term":26,"count":27},"體溫過低(hypothermia)",1,{"term":29,"count":27},"顫抖產熱",{"term":31,"count":27},"周邊血管收縮",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-107-2-fundamental-nursing-037","李女士為糖尿病患者，當她發生酮酸中毒的健康問題時，會出現下列何種呼吸型態？",37,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-fundamental-nursing-053","下列何種抽血檢驗在收集檢體前，病人不需要禁食 6～8 小時？",53,108,{"webId":43,"stem":44,"number":45,"year":41,"session":11},"nurse-108-2-fundamental-nursing-067","護理督導長負責督導的單位數是屬於下列何者？",67,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-fundamental-nursing-025","有關常見的用熱方式與治療目的之敘述，下列何者錯誤？",25,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-fundamental-nursing-069","下列那一項溝通屬於不同層級單位人員間的溝通方式？",69,111,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-112-2-fundamental-nursing-023","有關選擇靜脈穿刺部位的原則，下列敘述何者正確？",23,112,"2026-09-04",1788510724449]