[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"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-042","nurse-108-1-fundamental-nursing-042",108,1,42,"病人因車禍導致身體多處挫傷，車禍當時呼吸急促、感覺呼吸不順、血壓下降，下列何者是造成病人呼吸變化最有可能的原因？",{"A":15,"B":16,"C":17,"D":18},"疼痛","焦慮","內出血","副交感神經受刺激","C",null,[],"本題考點是創傷後呼吸變化的病因判斷,關鍵在整合「多處挫傷+血壓下降+呼吸急促」三線索。依低血容性休克的病生理,體內出血使血容量與血壓下降,組織灌流不足、氧氣輸送減少,身體以加快呼吸代償,故最可能原因是C內出血,選C。A疼痛雖可致呼吸加快,但無法解釋血壓下降;B焦慮同樣造成呼吸急促卻不會使血壓下降,反多見血壓上升;D副交感神經受刺激會使心跳與血壓下降、呼吸減慢,與「呼吸急促」方向矛盾。唯有內出血能同時解釋血壓下降與代償性呼吸急促兩項客觀變化,故為最佳答案。","低血容性休克代償反應:血量↓→交感興奮→心跳加快、周邊血管收縮、呼吸加深加快以增加氧攝取並代償代謝性酸中毒。臨床紅旗:創傷後低血壓+心搏過速+呼吸急促+皮膚濕冷,要高度警覺內出血。鑑別要訣——同時出現「血壓下降」時,單純疼痛或焦慮無法解釋,須往容積喪失想。可連結休克分類(低血容、心因、分佈、阻塞性)與創傷評估的循環(C)優先原則。",[25,28,29,31],{"term":26,"count":27},"低血容性休克",2,{"term":17,"count":11},{"term":30,"count":11},"代償性呼吸",{"term":32,"count":11},"創傷評估",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-108-1-fundamental-nursing-043","下列有關睡眠週期特徵之敘述，何者正確？",43,{"webId":39,"stem":40,"number":41,"year":10,"session":27},"nurse-108-2-fundamental-nursing-059","規劃是建構及發展一套解決問題或達成目標行動方案之過程，下列何者為其核心觀念？",59,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-109-1-fundamental-nursing-073","當單位內因占床率低時，在不違背勞動基準法規範下，要求護理人員拿休假不必來上班，此來自於管理者具有下列何種權力？",73,109,{"webId":48,"stem":49,"number":50,"year":51,"session":27},"nurse-110-2-fundamental-nursing-031","鼻黏膜出血的病人，於前額冰敷以達止血的原理為何？",31,110,{"webId":53,"stem":54,"number":55,"year":56,"session":27},"nurse-111-2-fundamental-nursing-075","下列何者屬於間接成本（indirect cost）？①空調水電費 ②行政管理費 ③護理衛材費 ④護理教育訓練費",75,111,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-112-3-fundamental-nursing-029","病人使用兩側拐杖以輔助活動，下列敘述何者正確？",29,112,3,"2026-09-04",1788510709116]