[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-108-1-內外科護理學-077","nurse-108-1-medical-surgical-077",108,1,77,"依據吳先生的症狀與徵象，所執行之立即處置，下列何者不適宜？",{"A":14,"B":15,"C":16,"D":17},"將左大腿抬高於心臟位置，以止血帶控制出血","依醫囑給予補充液體","依醫囑補充全血或血漿","依醫囑進行腦部電腦斷層檢查","D",null,[],"本題考點為低血容積性休克的立即處置優先順序，題目要選「不適宜」者。此情境首要是止血與補充循環容積、維持灌流，腦部電腦斷層屬穩定後的進階檢查，在活動性出血、血壓不穩時貿然送檢會延誤救命處置，故選 D 為不適宜。選項 A 抬高患肢並以止血帶控制外出血合理，可直接減少持續失血。選項 B 依醫囑補充液體合理，是低血容積休克的第一線容積復甦。選項 C 依醫囑補充全血或血漿合理，可回補流失的血液與帶氧能力。相較之下，腦部電腦斷層並非此刻的救命優先項目。","休克復甦遵循 ABC 與止血優先原則：先控制出血源、建立大孔徑靜脈通路快速輸液、必要時輸血，待血流動力學穩定再安排影像檢查。活動性出血病人未穩定即離開急救區送 CT，稱為把病人送進「death corridor」，是創傷照護大忌。損害控制復甦強調止血、限制性輸液與早期輸血並行。記憶重點：先命後診斷，救命處置永遠排在確診檢查之前。連結概念：容積復甦、大量輸血、損害控制。",[24,26,28,30],{"term":25,"count":10},"休克容積復甦",{"term":27,"count":10},"止血優先",{"term":29,"count":10},"救命處置優先於檢查",{"term":31,"count":10},"損害控制復甦",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-medical-surgical-078","有關一氧化碳中毒病人之護理措施，下列何者正確？",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-medical-surgical-014","有關腦脊髓液的檢查，下列何者異常？",14,109,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-109-2-medical-surgical-028","造成心因性休克的主要原因，不包括下列何者？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-110-2-medical-surgical-066","引起代謝性酸中毒的原因，下列何者正確？①延腦異常 ②急性腎衰竭 ③肺擴張不全 ④血糖過高",66,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-medical-surgical-030","下列何者為骨性關節炎的症狀和徵象？",30,112,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-113-1-medical-surgical-014","下列何者為白內障最有效的治療方式？",113,"2026-09-04",1788510710177]