[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-053","nurse-109-1-medical-surgical-053",109,1,53,"有關急性呼吸窘迫症候群（ARDS）的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用濃縮紅血球以維持正常血色素來增加攜氧能力","使用膠質溶液以減少微血管滲漏程度","使用升壓劑以改善心輸出量不足現象","使用陽壓呼吸器以降低功能性肺餘容積","D",null,[],"本題考點為急性呼吸窘迫症候群(ARDS)的處置原則。ARDS因肺泡微血管膜受損、通透性增加致非心因性肺水腫與頑固低血氧,處置上A補充濃縮紅血球提升攜氧、B使用膠質溶液減少微血管滲漏、C升壓劑改善心輸出量,均為合理支持。D錯誤在於陽壓呼吸器(尤其加PEEP)的作用是增加而非降低功能性肺餘容積,藉撐開塌陷肺泡改善氧合;敘述「降低功能性肺餘容積」與機轉相反,故錯誤選項為D。","ARDS核心病生理是瀰漫性肺泡損傷造成分流與順應性下降,PEEP目的正是提高功能性肺餘容積、招募塌陷肺泡、減少肺泡反覆開闔的剪力傷害。保護性肺通氣採低潮氣容積(6 mL\u002Fkg)避免容積傷害。柏林定義以PaO2\u002FFiO2比分輕中重度,是重要延伸。",[24,27,30,32],{"term":25,"count":26},"非心因性肺水腫",6,{"term":28,"count":29},"急性呼吸窘迫症候群",4,{"term":31,"count":10},"PEEP與功能性肺餘容積",{"term":33,"count":10},"保護性肺通氣",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-054","下列何者降低時，可作為阻塞性肺疾病的特徵？",54,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-070","有關副甲狀腺功能低下病人之處置與護理，下列何者正確？",70,2,{"webId":45,"stem":46,"number":29,"year":47,"session":43},"nurse-110-2-medical-surgical-004","顱內動脈瘤（aneurysms）破裂導致蜘蛛膜下腔出血，進行神經學檢查時會出現的徵象，下列何者錯誤？",110,{"webId":49,"stem":50,"number":51,"year":52,"session":43},"nurse-111-2-medical-surgical-042","下列何者不是接受周邊造血幹細胞移植治療的禁忌症？",42,111,{"webId":54,"stem":55,"number":26,"year":56,"session":57},"nurse-112-3-medical-surgical-006","下列何者不屬於腦幹功能評估？",112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":57},"nurse-113-3-medical-surgical-050","有關各類型休克其病理機轉是因血管擴張引起分布性（distributive）或稱血管性（vasogenic）休克，下列何者正確？①敗血性 ②低血容積性 ③過敏性 ④神經性 ⑤心因性",50,113,"2026-09-04",1788510712792]