[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"產兒科護理學","maternal-pediatric",{"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-108-1-產兒科護理學-046","nurse-108-1-maternal-pediatric-046",108,1,46,"兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","D",null,[],"本題考點是兒童氣喘發作導致呼吸性酸中毒的機轉。依氣道嚴重阻塞使肺泡通氣不足、二氧化碳滯留的原理,加上發作時低血氧④造成組織缺氧與代償失效,以及脫水③使分泌物黏稠、通氣更差並影響灌流,共同促成呼吸性酸中毒,故選D。①呼吸過慢錯誤,氣喘發作以呼吸急促為主而非過慢。②新陳代謝率減慢錯誤,發作時呼吸費力使代謝需求上升,並非減慢,故①②不成立,答案為③④。","呼吸性酸中毒的本質是肺無法排出足夠CO2,pH下降而PaCO2上升。氣喘發作先因換氣過度可能短暫呼吸性鹼中毒,隨疲乏與氣道阻塞加劇轉為CO2滯留的呼吸性酸中毒,是病情惡化的警訊。脫水加重黏液栓塞、低血氧反映氣體交換失效。記憶口訣:CO2排不掉就酸、缺氧加脫水火上加油。可連結血氧與二氧化碳分壓變化判讀氣喘嚴重度。",[24,27,30,32],{"term":25,"count":26},"呼吸性酸中毒",6,{"term":28,"count":29},"二氧化碳滯留",3,{"term":31,"count":10},"肺泡通氣不足",{"term":33,"count":10},"低血氧",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-047","有關缺鐵性貧血病童口服鐵劑的注意事項，下列何者錯誤？",47,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-maternal-pediatric-063","有關新生兒壞死性腸炎之敘述，下列何者錯誤？",63,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-maternal-pediatric-077","王小妹，7 歲，被診斷泌尿道感染（Urinary Tract Infection），出院時醫囑開立 7 天份的口服抗生素 amoxicilline，下列護理指導何者適當？",77,109,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-110-2-maternal-pediatric-035","鄭女士因骨盆腔炎症入院治療，下列敘述何者正確？",35,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-maternal-pediatric-079","有關腦性麻痺（cerebral palsy）兒童常見的健康問題，下列敘述何者較不適當？",79,111,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-112-3-maternal-pediatric-033","汪小弟為 29 週又 5 天出生的早產兒，體重 1,310 公克，有關各系統的生理特徵，下列敘述何者正確？",33,112,"2026-09-04",1788510710607]