[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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":25},"nurse-108-2-內外科護理學-062","nurse-108-2-medical-surgical-062",108,2,62,"對於蔡先生在急診室測得的動脈血氧氣體分析結果：pH 7.25、PaCO 2 31 mmHg、HCO 3- 18 mEq\u002FL 之判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸性酸中毒","部分代償性呼吸性酸中毒","代謝性酸中毒","部分代償性代謝性酸中毒","D",null,[],"本題考點為動脈血液氣體分析的酸鹼判讀四步驟。先看 pH 7.25 低於 7.35 屬酸中毒；再看 HCO₃⁻ 18 mEq\u002FL 低於正常(22～26)，方向與酸中毒一致，判定為代謝性酸中毒；PaCO₂ 31 mmHg 低於正常(35～45)，代表呼吸系統以過度換氣排出 CO₂ 進行代償，但 pH 仍未回到正常範圍，屬部分代償，故選 D。選項 A、B 呼吸性酸中毒的原發應是 PaCO₂ 升高，但此處 PaCO₂ 反而下降，方向不符。選項 C 代謝性酸中毒只描述原發問題，卻忽略 PaCO₂ 已明顯下降的代償現象，故不如 D 完整正確。","判讀口訣：一看 pH 定酸鹼、二看誰與 pH 同向定原發、三看對側是否代償、四看 pH 是否回正定代償程度。HCO₃↓ 與 pH↓ 同向→原發代謝性酸中毒；PaCO₂↓ 為呼吸代償(Kussmaul 呼吸)。pH 未回正常=部分代償；回到正常=完全代償。急性腎衰竭常見酸負荷堆積致代謝性酸中毒。",[24,26,29,32,35],{"term":16,"count":25},22,{"term":27,"count":28},"動脈血液氣體分析",10,{"term":30,"count":31},"部分代償",3,{"term":33,"count":34},"呼吸性代償",1,{"term":36,"count":34},"HCO3 正常值",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-108-2-medical-surgical-063","改善其酸鹼不平衡問題最有效的措施，下列何者正確？",63,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-109-1-medical-surgical-079","當支氣管擴張症病人出現下列何種狀況需盡速就醫？",79,109,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-110-1-medical-surgical-013","有關食道弛緩不能（Esophageal achalasia）的敘述，下列何者正確？",13,110,{"webId":53,"stem":54,"number":55,"year":56,"session":34},"nurse-111-1-medical-surgical-051","有關鞏皮症之敍述，下列何者正確？",51,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-015","有關急性胃炎之護理措施，下列何者錯誤？",15,112,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-113-2-medical-surgical-029","有關全身性紅斑性狼瘡之醫療處置之敘述，下列何者錯誤？",29,113,"2026-09-04",1788510706719]