[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-108-2-基本護理學與護理行政-011","nurse-108-2-fundamental-nursing-011",108,2,11,"有關發燒初期之症狀表現，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"呼吸減緩","心跳速度加快","皮膚發燙","譫妄","B",null,[],"本題考點為發燒三期中「發冷期(寒顫期)」的生理表現。當體溫定位點(set point)上調時,身體為升溫而啟動代謝與交感神經興奮,故心跳加快、呼吸加快,同時周邊血管收縮使皮膚蒼白冰冷、寒顫發抖,答案選B。A呼吸減緩錯:代謝率升高、需氧量增加,呼吸應加快而非減緩。C皮膚發燙錯:初期血管收縮、皮膚呈蒼白冰冷,發燙是體溫已達高原期(發熱期)才有的表現。D譫妄錯:意識改變、譫妄是持續高燒或極高溫時中樞受影響的晚期表現,非發燒初期即出現。","發燒分三期:發冷期(set point上調、產熱大於散熱,寒顫、皮膚蒼白冰冷)、發熱期\u002F高原期(產散熱在新高點取得平衡,皮膚溫熱潮紅)、退熱期(set point下調、散熱大於產熱,出汗降溫)。口訣「冷—熱—退」對應「蒼白冷→潮紅燙→流汗」。心跳約每升高1℃增加約10次\u002F分,呼吸亦代償上升。譫妄、抽搐屬高溫對中樞的影響,多見於高熱期而非初期。",[25,28,31,33],{"term":26,"count":27},"發燒三期",5,{"term":29,"count":30},"寒顫期",1,{"term":32,"count":30},"體溫定位點",{"term":34,"count":30},"代謝率",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-012","以 C.T.M.S.原則評估病人肢體約束時，下列敘述何者正確？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-109-1-fundamental-nursing-028","有一醫囑：0.45% NaCl 每小時靜脈輸注 100 mL，擬以普通輸注套管（macrodrip，15 gtt\u002FmL）輸注，流速每分鐘應為幾滴？",28,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-042","以徒手肌肉檢查（manual muscle test）病人左側肢體的肌肉有輕微收縮，但無法移動關節，其肌肉力量（muscle power）等級為何？",42,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-110-2-fundamental-nursing-080","有關精實生產（lean manufacturing）的敘述，下列何者錯誤？",80,110,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-112-1-fundamental-nursing-044","有關死亡後遺體的變化，下列敘述何者正確？",44,112,{"webId":60,"stem":61,"number":43,"year":62,"session":30},"nurse-113-1-fundamental-nursing-028","有關營養素的敘述，下列何者正確？",113,"2026-09-04",1788510705605]