[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-108-1-基本護理學與護理行政-030","nurse-108-1-fundamental-nursing-030",108,1,30,"脫水病人所呈現的生命徵象，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"體溫上升、脈搏弱且快、呼吸速率減少、血壓上升","體溫上升、脈搏弱且快、呼吸速率增加、血壓下降","體溫下降、脈搏弱且慢、呼吸速率增加、血壓上升","體溫下降、脈搏弱且慢、呼吸速率減少、血壓下降","B",null,[],"本題考點為脫水時的生命徵象變化。依脫水的病理生理，體液流失使循環血量減少，身體代償性加快心跳與呼吸以維持組織灌流與氧合，並因失水濃縮與代謝產熱使體溫上升，同時血容量不足導致血壓下降，故呈現「體溫上升、脈搏弱且快、呼吸速率增加、血壓下降」，選B。A呼吸速率減少、血壓上升與代償方向相反；C與D將體溫、脈搏、呼吸多項寫成下降或減慢，皆不符脫水時交感神經興奮、代償加速的生理表現。故正確組合為B。","脫水生命徵象的推理鏈：血容量↓→組織灌流不足→交感神經興奮→心跳加快但脈搏因容量少而細弱、呼吸加快代償氧合、血壓下降；水分濃縮與散熱不足使體溫略升。其他脫水徵象包括皮膚彈性差、黏膜乾、尿量減少且比重上升、眼窩凹陷。凡「量少導致代償」的情境，脈搏與呼吸幾乎都是又快又弱，血壓則往下掉。",[25,28,31,33],{"term":26,"count":27},"生命徵象",5,{"term":29,"count":30},"脫水",3,{"term":32,"count":11},"循環代償機轉",{"term":34,"count":11},"血容量不足",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-fundamental-nursing-031","張太太產後 4 小時，無法自解小便，護理人員欲協助誘尿，下列何種方式錯誤？",31,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-108-2-fundamental-nursing-047","有關等張運動（isotonic exercise）的敘述，下列何者正確？",47,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-109-1-fundamental-nursing-061","決策是指從發現問題到執行解決方案間的過程，下列那一項對決策過程的描述最適切？",61,109,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-110-2-fundamental-nursing-019","下列何者屬於客觀性資料（objective data）？",19,110,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-111-2-fundamental-nursing-063","下列何者不屬於警訊事件（sentinel event）？",63,111,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-112-3-fundamental-nursing-017","下列何者不是灌腸的禁忌症？",17,112,"2026-09-04",1788510709014]