[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-109-1-內外科護理學-041","nurse-109-1-medical-surgical-041",109,1,41,"有關大面積重度燒傷初期（48 小時內），對於心臟血管系統造成的影響，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"中心靜脈壓升高","心輸出量減少","全身性水腫","脈搏淺快","A",null,[],"本題考點在於大面積重度燒傷初期（48小時內）休克期的心血管變化，屬選錯誤題。燒傷初期微血管通透性增加，大量血漿由血管內滲出至組織間隙，造成血容積減少。選項A「中心靜脈壓升高」為錯誤，此期因體液流失使回心血量與中心靜脈壓「下降」而非上升，故應選A。選項B血容積下降使心輸出量減少，正確；選項C血漿外滲造成全身性水腫，正確；選項D血容積不足時代償性心跳加快，脈搏呈淺快，正確。故中心靜脈壓在休克期應下降，A敘述錯誤。","燒傷分兩期：休克期（急性體液流失期，約48小時內）因微血管通透性增加致血漿滲漏、低血容積、心輸出量與CVP下降、血比容上升（血液濃縮）；利尿期（48小時後）體液回吸收使尿量增加、水腫消退。休克期靜脈輸注復甦以Parkland公式（4 mL×體重kg×燒傷面積%）計算晶體液，前8小時給一半。監測尿量是評估灌流是否足夠的重要指標。",[24,27,29,31],{"term":25,"count":26},"燒傷休克期",2,{"term":28,"count":10},"微血管通透性增加血漿外滲",{"term":30,"count":10},"中心靜脈壓下降",{"term":32,"count":10},"低血容積心輸出量減少",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-042","有關足癬的敘述，下列何者錯誤？",42,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-medical-surgical-058","李同學在打籃球時突然感到左胸尖銳疼痛到急診求治，護理師視診發現李同學的左側胸部起伏較小，且氣管偏向右側，聽診發現左側肺部呼吸音減弱、叩診左側肺部出現過度反響音，此時李同學最可能發生下列何種情形？",58,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-072","有關糖尿病性酮酸中毒（DKA）治療之敘述，下列何者正確？",72,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-030","有關心包填塞（cardiac tamponade）症狀的敘述，下列何者錯誤？",30,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-medical-surgical-074","有關甲狀腺功能低下之臨床表徵，下列何者錯誤？",74,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-038","有關腹膜透析治療之敘述，下列何者正確？",38,113,3,"2026-09-04",1788510712691]