[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-2-內外科護理學-022","nurse-108-2-medical-surgical-022",108,2,22,"冠狀動脈繞道手術後病人送至加護病房時，下列何種徵象必須立即通知醫師？",{"A":14,"B":15,"C":16,"D":17},"體溫 35℃","血壓 90\u002F60 mmHg","胸管引流量 200 mL\u002Fhr","SaO 2 90～92%","C",null,[],"本題考點是冠狀動脈繞道術後在加護病房須警覺的出血警訊。依術後監測準則,胸管引流量若持續超過每小時 100～150 mL,代表縱膈或心包內活動性出血,有心包填塞與低血容之虞,須立即通知醫師,故 200 mL\u002Fhr 選 C。A 體溫 35℃屬體外循環後常見的輕度低溫,回溫處理即可,非緊急。B 血壓 90\u002F60 mmHg 雖偏低但仍在可接受範圍,單一數值不構成立即通報。D SaO₂ 90～92% 雖略低,經氧療多可改善,不及大量胸管出血迫切。四者相比,持續高量胸管引流最具生命威脅。","警戒閾值記法:胸管引流連續 2～3 小時 >100 mL\u002Fhr,或任一小時 >200 mL,即視為外科出血需回手術室評估。大量引流合併血壓下降、頸靜脈怒張、心音遙遠(Beck三徵)提示心包填塞;若胸管突然變少更要警覺血塊阻塞造成的隱匿性填塞。可連結:Beck 三徵、心包填塞、體外循環後低溫與凝血功能、每搏輸出量與前負荷。",[24,27,30,32],{"term":25,"count":26},"心包填塞",6,{"term":28,"count":29},"術後胸管引流警戒值",1,{"term":31,"count":29},"活動性出血",{"term":33,"count":29},"CABG 術後監測",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-023","有關中心靜脈壓升高之原因，下列何者錯誤？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-medical-surgical-039","有關癌症病人發生口腔炎之護理指導，下列何者錯誤？",39,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-053","有關張力性氣胸（tension pneumothorax）的臨床表徵，下列何者正確？",53,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-1-medical-surgical-011","有關預防傾倒症候群（Dumping Syndrome）的護理指導，下列何者正確？",11,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-1-medical-surgical-055","張先生患有多重抗藥性結核病（MDR-TB），表示其對何種藥物產生抗藥性？①Ethambutol ②Isoniazid ③Pyrazinamide ④Rifampin",55,112,{"webId":59,"stem":60,"number":42,"year":61,"session":29},"nurse-113-1-medical-surgical-039","有關透析治療比較之敘述，下列何者正確？",113,"2026-09-04",1788510706360]