[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-fundamental-nursing-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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-037","nurse-107-2-fundamental-nursing-037",107,2,37,"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？",{"A":15,"B":16,"C":17,"D":18},"呼吸暫停（apnea）","呼吸過慢（bradypnea）","換氣不足（hypoventilation）","庫斯毛耳氏呼吸（Kussmaul’s respiration）","D",null,[],"本題考點為糖尿病酮酸中毒(DKA)的呼吸型態。DKA 時脂肪分解產生大量酮酸，造成代謝性酸中毒，身體為排出二氧化碳代償，呈現又深又快的庫斯毛耳氏呼吸(Kussmaul's respiration)，故選 D。A 呼吸暫停(apnea)是呼吸完全停止，與代償性過度換氣相反。B 呼吸過慢(bradypnea)無法排酸代償。C 換氣不足(hypoventilation)會使二氧化碳滯留、酸中毒惡化，與代償方向相反。故只有深快的 Kussmaul 呼吸符合。","代謝性酸中毒時，呼吸中樞受氫離子刺激，以深而快的 Kussmaul 呼吸排出二氧化碳(呼吸性代償)，降低血中碳酸而拉回 pH。DKA 三聯徵：高血糖、酮酸血症、代謝性酸中毒，並常伴脫水與爛蘋果味(丙酮)呼氣。對比 Cheyne-Stokes(漸強漸弱交替暫停)見於腦損傷或心衰，型態與成因不同。",[25,28,31],{"term":26,"count":27},"Kussmaul 呼吸",3,{"term":29,"count":30},"糖尿病酮酸中毒(DKA)",1,{"term":32,"count":30},"代謝性酸中毒代償",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-2-fundamental-nursing-038","江小姐，參與路跑活動後，出現大量流汗、皮膚蒼白濕冷、血壓降低、脈搏快而弱、頭痛及噁心的現象，下列敘述何者正確？①江小姐出現熱衰竭的情形 ②江小姐出現中暑的情形 ③稍微將下肢抬高 ④頭部稍為墊高",38,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-108-1-fundamental-nursing-054","柯老太太，82 歲，身上多處壓瘡傷口，入院時 GCS：E4V5M5，BP：118\u002F78 mmHg，體溫 37.6℃， 24 小時後柯老太太出現下列何種情況需立即報告？",54,108,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-108-2-fundamental-nursing-068","組織變革理論中之「解凍（unfreezing）、改變（change）及再凍（refreezing）」是由下列何者提出？",68,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-110-1-fundamental-nursing-026","0.33%食鹽水輸液適用於下列何種病人？",26,110,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-fundamental-nursing-070","護理部主任未經督導長同意，直接請護理長負責某專案，不符合下列何項授權原則？",70,111,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-112-2-fundamental-nursing-024","張女士因肺癌，術後醫囑開立 FFP 2U St.，在輸注過程中，出現頭暈、呼吸困難、血壓下降，下列之立即處置何者最適當？",24,112,"2026-09-04",1788510724470]