[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-023":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-023","nurse-108-2-medical-surgical-023",108,2,23,"有關中心靜脈壓升高之原因，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"心肌梗塞","二尖瓣逆流","心包膜填塞","敗血性休克","D",null,[],"本題考點是中心靜脈壓(CVP)升高的血流動力學原因,並找出不符者。CVP 反映右心房壓與靜脈回流阻力,凡使右心負荷增加或血液回流受阻者皆升高。心肌梗塞(尤其右心室或引發心衰)、二尖瓣逆流(壓力逆傳至肺與右心)、心包膜填塞(心臟受壓、回流受阻)均使 CVP 上升,故 A、B、C 皆非答案。D 敗血性休克屬分佈性休克,全身血管廣泛擴張、有效循環血量與靜脈回流下降,CVP 反而降低,與「升高」不符,故選 D。考點在於辨識休克類型對前負荷指標的相反影響。","分類記憶:CVP 升高多見於右心衰、阻塞性(填塞、肺栓塞)、體液過多;CVP 降低見於低血容與分佈性(敗血、過敏、神經性)休克早期。敗血性休克為「暖休克」,血管張力喪失使容量血管擴張,回心血量少,故需大量輸液合併升壓劑。可連結:四型休克、前負荷、Frank-Starling 定律、SVR 全身血管阻力。",[24,27,29,32],{"term":25,"count":26},"分佈性休克",4,{"term":28,"count":10},"中心靜脈壓",{"term":30,"count":31},"右心前負荷",1,{"term":33,"count":31},"敗血性休克血流動力學",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-medical-surgical-024","有關急性心肌梗塞病人採限鈉飲食之敘述，下列何者正確？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-medical-surgical-040","下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",40,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-medical-surgical-054","有關呼吸器出現壓力過低警示（low pressure alarm）之處理，下列何者最適當？",54,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-1-medical-surgical-012","下列何者不是食道癌常見的臨床表徵？",12,111,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-medical-surgical-056","有關接受肺葉切除手術病人之護理，下列敘述何者正確？",56,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-medical-surgical-040","韓小姐的動脈血液氣體分析結果為pH 7.44、PaCO 30 mmHg、HCO - 20 mmHg、PaO 82 mmHg，根據以上數 2           3             2 值，判讀結果下列何者正確？",113,"2026-09-04",1788510706363]