[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-035":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-035","nurse-108-2-fundamental-nursing-035",108,2,35,"靜脈輸液時，下列那些症狀或徵象與循環負荷過量（circulatory overload）有關？①水腫 ②脈搏變慢而強 ③血壓下降 ④呼吸短促",{"A":15,"B":16,"C":17,"D":18},"①②","③④","①④","②③","C",null,[],"本題考點為靜脈輸液併發症中「循環負荷過量(circulatory overload)」的表現。輸液過快或過量使血管內容量與靜脈回流增加,導致①水腫與④呼吸短促(肺部鬱血、肺水腫),故選C(①④)。②脈搏變慢而強錯:循環負荷過量時脈搏應加快且飽滿(洪脈),而非變慢。③血壓下降錯:容量負荷過量使血壓上升而非下降。其餘典型徵象還包括頸靜脈怒張、咳嗽、囉音與中心靜脈壓上升。掌握「量多壓高、心肺負荷增」即可辨識,選項②③方向相反故排除。","循環負荷過量(fluid\u002Fcirculatory overload)病生理:輸入速率超過心臟輸出與腎臟排除能力,血管內容量增加、靜脈回流與前負荷上升,肺靜脈壓升高、液體滲入肺泡形成肺水腫。表現:呼吸短促、端坐呼吸、咳嗽(粉紅泡沫痰)、肺部囉音、頸靜脈怒張、血壓與CVP上升、洪脈、水腫、體重增加。高風險族群:老人、心衰、腎功能不全、嬰幼兒。與此相對的空氣栓塞、靜脈炎、滲漏表現各異。處置方向為減慢或暫停輸液、半坐臥並通報。",[25,28,30,32],{"term":26,"count":27},"循環負荷過量",4,{"term":29,"count":11},"肺水腫",{"term":31,"count":11},"前負荷",{"term":33,"count":34},"靜脈輸液併發症",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-2-fundamental-nursing-036","下列 4 項術後醫囑，何者是護理師給藥前必須提出強烈的質疑？",36,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-109-1-fundamental-nursing-052","陳先生接受冠狀動脈繞道手術後，醫囑為 Pethidine（Demerol）50 mg IM st.，下列敘述何者正確？",52,109,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-109-2-fundamental-nursing-066","護理部與藥劑部為了送到病房的藥品是否要依每餐用藥分開包裝，或以藥品名稱包裝每日用量而各堅持己見，因此請副院長主持協調會議。請問護理部與藥劑部間的溝通是屬於下列何種方式？",66,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-111-1-fundamental-nursing-024","李先生體重 60 公斤，輸血醫囑「Blood transfusion PRBC（packed RBC）2 units」，輸血開始 15 分鐘後，出現頭痛、寒顫、發燒、呼吸困難、低血壓等症狀，此時護理師在通知醫師之前，最優先的處理為何？",24,111,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-112-1-fundamental-nursing-068","針對有效溝通技巧之敘述，下列何者最適宜？",68,112,{"webId":60,"stem":61,"number":11,"year":62,"session":11},"nurse-113-2-fundamental-nursing-002","孕婦懷孕 6 個月，近日感覺會陰部極癢，且陰道有黃色分泌物流出，自我沖洗外陰部後，仍舊感到難以忍受，因此決定尋求婦產科醫師診治，依馬斯洛（Maslow）的五大需求階層理論，此時孕婦最需滿足的需求是：",113,"2026-09-04",1788510705794]