[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-108-1-內外科護理學-026","nurse-108-1-medical-surgical-026",108,1,26,"有關心臟衰竭臨床處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用主動脈內氣球幫浦（IABP），可以增加冠狀動脈血流且減少心臟後負荷","毛地黃與 Thiazide 類利尿劑並用，可以避免發生毛地黃中毒","低鹽飲食可以減少心臟前負荷","使用 Dobutamine 可以增加心肌收縮力，提高心輸出量","B",null,[],"本題考點為心臟衰竭處置的藥理與血流動力，屬選錯誤題。依電解質與毛地黃交互作用，Thiazide類利尿劑會排鉀致低血鉀，而低血鉀會增加毛地黃中毒風險，故「並用可避免中毒」的敘述錯誤，選B。A主動脈內氣球幫浦於舒張期充氣增加冠狀動脈灌流、收縮期洩氣降低後負荷，正確；C低鹽飲食減少水鈉滯留與前負荷，正確；D Dobutamine為β1致效劑，增加心肌收縮力與心輸出量，正確。","毛地黃與鉀在Na-K-ATPase上競爭：低血鉀時毛地黃更易結合而毒性增強，故凡使用排鉀利尿劑者須監測血鉀並適時補鉀。IABP口訣「舒張充氣、收縮洩氣」達成增灌流、減後負荷雙效。記憶：Thiazide＋毛地黃＝低鉀＝中毒風險上升，是陷阱組合。",[24,27,29,32,34],{"term":25,"count":26},"心臟衰竭",7,{"term":28,"count":26},"低血鉀",{"term":30,"count":31},"毛地黃中毒",3,{"term":33,"count":10},"Thiazide利尿劑",{"term":35,"count":10},"IABP",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-027","有關心律不整藥物之敘述，下列何者正確？",27,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-108-2-medical-surgical-043","王先生從火災現場被救出，評估發現其鼻毛燒焦、聲音嘶啞、喘鳴聲、碳粒痰、呼吸有燒焦味，下列何者為王先生最可能的診斷？",43,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-1-medical-surgical-057","王先生因急性腎衰竭而急診入院，目前檢驗測得 arterial blood gas 為 pH：7.23，PaCO 2 ：32 mmHg， HCO 3 －：17.5 mEq\u002FL，PaO 2 ：82 mmHg，SaO 2 ：98%，此結果屬：",57,109,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-110-2-medical-surgical-015","接受全靜脈營養輸注的病人，突然停止輸注後容易產生的併發症狀，下列何者正確？",15,110,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-111-2-medical-surgical-059","肺擴張不全病人的身體評估，下列發現何者正確？",59,111,{"webId":62,"stem":63,"number":64,"year":65,"session":31},"nurse-112-3-medical-surgical-013","病人因骨腫瘤接受右腳膝上截肢的照護措施，下列何者最適當？",13,112,"2026-09-04",1788510709716]