[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-056","nurse-108-1-fundamental-nursing-056",108,1,56,"腦死判定適用於下列何者情境？",{"A":15,"B":16,"C":17,"D":18},"新陳代謝障礙造成的深度昏迷","藥物中毒造成的深度昏迷","低體溫造成的深度昏迷","無腦幹反射無自發性呼吸的昏迷","D",null,[],"本題考點是腦死判定的適用前提。腦死是全腦(含腦幹)功能不可逆喪失,判定的關鍵在排除可逆性昏迷原因後,確認無腦幹反射且無自發性呼吸。D「無腦幹反射、無自發性呼吸的昏迷」正是腦死判定的核心條件,故選D。A新陳代謝障礙、B藥物中毒、C低體溫所造成的深度昏迷都屬「可逆性」原因,可能在矯正後恢復,故判定腦死前必須先排除這些情況,不能在其存在時逕行判定。三個錯誤選項都是判定前須先排除的干擾因素,唯D描述的無腦幹反射與無自發呼吸,才是符合腦死判定的臨床情境。","腦死判定前提:確定昏迷原因、排除可逆因素(低體溫、藥物或酒精中毒、代謝與內分泌障礙、電解質嚴重失衡、休克)、生命徵象穩定。判定內容:深度昏迷、無腦幹反射(瞳孔對光、角膜、頭眼、前庭眼、咳嗽嘔吐反射均消失)、自發呼吸停止(需通過呼吸暫停測試apnea test),並依規定間隔重複判定。腦死不同於植物人(後者腦幹功能存在)。可連結器官捐贈與《人體器官移植條例》相關規定。",[25,28,30,32],{"term":26,"count":27},"腦死判定",2,{"term":29,"count":27},"腦幹反射",{"term":31,"count":27},"呼吸暫停測試",{"term":33,"count":11},"可逆性昏迷排除",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-057","日本企業管理博士大內先生（Ouchi）在 1981 年提出 Z 理論，其理論重點的敘述，下列何者正確？ ①參與式決策 ②快速升遷 ③團體價值 ④專業化歷程 ⑤集體責任",57,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-108-2-fundamental-nursing-073","下列何者是異常事件通報最主要目的？",73,{"webId":44,"stem":45,"number":46,"year":47,"session":27},"nurse-109-2-fundamental-nursing-007","有關 S.O.A.P.I.E. （ subjective data, objective data, assessment, plan, implementation, evaluation）與 D.A.R.T. （data, action, response, teaching）焦點紀錄法之敘述，下列何者錯誤？",7,109,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-2-fundamental-nursing-045","有關血壓之敘述，下列何者錯誤？",45,110,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-1-fundamental-nursing-009","自 2023 年起，一位 14 歲氣喘病人，其病歷保存年限，下列何者正確？",9,112,{"webId":59,"stem":60,"number":61,"year":57,"session":62},"nurse-112-3-fundamental-nursing-043","由受過訓練的護佐或照顧服務員協助護理師執行病人日常生活與照護，此屬於下列何種照護模式？",43,3,"2026-09-04",1788510709224]