[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-078","nurse-108-1-medical-surgical-078",108,1,78,"有關一氧化碳中毒病人之護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"給予高濃度氧氣","協助病人活動以促進一氧化碳排出","應立即協助中毒者催吐","提供解毒劑","A",null,[],"本題考點為一氧化碳中毒的處置原理。一氧化碳與血紅素的親和力約為氧的 200 多倍，會形成一氧化碳血紅素而奪佔帶氧位置；給予高濃度氧氣可競爭置換一氧化碳、加速其解離並縮短半衰期，故選 A。選項 B 協助活動促排出錯誤，活動增加組織耗氧、加重缺氧，應讓病人休息並移離污染源。選項 C 立即催吐錯誤，一氧化碳經呼吸道吸入而非腸胃道，催吐無助且有吸入風險。選項 D 提供解毒劑錯誤，一氧化碳中毒無專一解毒藥，處置核心即為高濃度氧氣，嚴重者採高壓氧治療。","一氧化碳中毒的病生理有二：一是與血紅素結合成 carboxyhemoglobin（COHb）使攜氧量驟降，二是把氧合曲線左移、使氧更難釋放到組織，雙重缺氧。100% 氧氣可將 COHb 半衰期由約 4～5 小時縮短到 1 小時左右，高壓氧更快。臨床陷阱：脈衝式血氧機無法分辨 COHb 與正常血紅素，讀值可能假性正常，須抽血驗 COHb。記憶重點：面色櫻桃紅、血氧機正常但病人缺氧。連結概念：氧合血紅素解離曲線、高壓氧治療、組織缺氧。",[24,27,29,31],{"term":25,"count":26},"一氧化碳中毒",3,{"term":28,"count":10},"carboxyhemoglobin",{"term":30,"count":10},"高濃度氧氣治療",{"term":32,"count":10},"氧合曲線左移",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-medical-surgical-079","有關登革熱之敘述，下列何者錯誤？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-1-medical-surgical-015","肝穿刺切片檢查時，為避免橫膈穿孔與肝臟撕裂傷，教導病人當針頭插入肝臟時應採取的動作，下列何者正確？",15,109,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-109-2-medical-surgical-029","林空服員近日覺得小腿不適，護理師採取下列何項評估其深部靜脈栓塞？",29,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-110-2-medical-surgical-067","有關腎移植後的急性排斥徵候，不包括下列何者？",67,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-medical-surgical-031","靜脈注射不當造成血管紅、腫、痛是屬於下列何種血管問題？",31,112,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-113-1-medical-surgical-015","有關鼻竇炎病人的護理指導，下列何者錯誤？",113,"2026-09-04",1788510710196]