[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":11},"nurse-108-2-基本護理學與護理行政-044","nurse-108-2-fundamental-nursing-044",108,2,44,"關於體溫過低的敘述，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"可能導因於大出血、敗血症","會產生心跳變弱，呼吸與血壓下降","可依醫囑給予靜脈注射溫暖輸液","需快速身體加溫，以預防進一步損傷","D",null,[],"本題考點為體溫過低（hypothermia）的復溫原則—須「緩慢」而非快速加溫。依復溫生理，過快的體表復溫會使周邊血管驟然擴張，將冰冷、酸性、高鉀的血液大量回流至核心，造成核心後降（afterdrop）、低血壓與致命性心律不整，故應緩慢回溫，D「需快速身體加溫」的敘述錯誤、為答案。A大出血、敗血症會造成失溫或體溫調節失能，可為病因，正確。B低溫下代謝與心血管功能抑制，出現心跳變弱、呼吸與血壓下降，正確。C依醫囑給予加溫的靜脈輸液屬核心復溫措施之一，正確。","復溫分被動（移除濕冷衣物、保暖毯）、主動體表（加溫毯、暖氣）與主動核心（加溫靜脈輸液、溫熱氧氣、體腔灌洗、體外循環），重度失溫優先核心復溫以避免 afterdrop。afterdrop 機轉：體表血管擴張使滯留於四肢的冷血回心，核心溫度反而再下探，並把周邊堆積的鉀與乳酸帶回，誘發心室顫動。低溫心電圖可見 Osborn（J）波。記憶：「hypothermia 復溫要慢、由內而外」。可連結概念：核心後降、心室顫動、敗血症性體溫失調。",[25,27,30,32],{"term":26,"count":11},"體溫過低",{"term":28,"count":29},"緩慢復溫",1,{"term":31,"count":29},"核心後降 afterdrop",{"term":33,"count":29},"核心復溫",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-fundamental-nursing-045","某中風住院病人，根據徒手肌肉測試（manual muscle test）的結果，其肌肉力量（muscle power）等級為不佳（poor），下列何者是最適當的運動？",45,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-fundamental-nursing-061","決策是指從發現問題到執行解決方案間的過程，下列那一項對決策過程的描述最適切？",61,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-fundamental-nursing-075","Blake 及 Mouton（1978）提出管理方格理論，下列何者為其領導最關鍵的要素或構面？",75,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-fundamental-nursing-033","利用圓滾木翻身法協助病患翻向右側，下列敘述何者錯誤？",33,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-fundamental-nursing-077","依據 Hersey 及 Blanchard（1993）提出的情境領導理論，領導者應依下列何種要素來決定領導型態？",77,112,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-113-2-fundamental-nursing-011","有關給藥的禁忌，下列敘述何者錯誤？",11,113,"2026-09-04",1788510705893]