[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-107-2-內外科護理學-058","nurse-107-2-medical-surgical-058",107,2,58,"執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"PaO 2 上升","pH 上升","PaCO 2 上升","不會有任何改變","C",null,[],"本題考點在動脈血液氣體(ABG)檢體保存不當對數值的影響。依原理,血中白血球與紅血球仍持續進行有氧代謝,若未即刻冰浴降溫抑制細胞代謝,細胞會繼續消耗氧、產生二氧化碳,使 PaO₂ 下降、PaCO₂ 上升、pH 因 CO₂ 蓄積而下降,故正確者為 C『PaCO₂ 上升』。選項 A 錯,PaO₂ 應『下降』而非上升;選項 B 錯,pH 因酸性 CO₂ 增加而『下降』而非上升;選項 D 錯,常溫放置必然造成上述改變,並非毫無變化。故檢體應置冰水中並盡速送檢以維持數值準確。","抽出的血液是活組織,體外仍代謝耗氧產碳。低溫(冰浴)可將代謝速率降到最低,延緩數值漂移;若延遲送檢又未冰存,樣本會偽現低氧、高碳酸與酸化。此外抽血混入氣泡會使 PaO₂ 偽高、PaCO₂ 偽低,故抽 ABG 需排空氣泡、隔絕空氣、冰浴並立即送驗。口訣:未冰存→續代謝→氧降、碳升、酸化。",[24,27,29,32],{"term":25,"count":26},"動脈血液氣體分析",10,{"term":28,"count":10},"PaCO2",{"term":30,"count":31},"檢體冰浴保存",1,{"term":33,"count":31},"細胞代謝耗氧",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-medical-surgical-059","有關預防尿路結石復發的護理指導，下列何者正確？",59,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-medical-surgical-075","依據吳先生目前的生理狀態，下列何者正確？",75,108,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-109-1-medical-surgical-009","有關肛門瘻管手術治療後常見的併發症，下列何者正確？①出血 ②腹股溝疝氣 ③瘻管復發 ④解便失禁",9,109,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-110-1-medical-surgical-047","有關乳癌的敘述，下列何者錯誤？",47,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-medical-surgical-011","有關肝癌的敘述，下列何者正確？",11,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-medical-surgical-045","有關電燒傷所造成的身體損傷，下列敘述何者正確？",45,112,"2026-09-04",1788510725410]