[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":68},"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-074","nurse-109-1-medical-surgical-074",109,1,74,"有關監測敗血症病人液體療法之生理指標，下列何者最可能需調節輸液？",{"A":14,"B":15,"C":16,"D":17},"尿比重≦1.026","收縮壓＜80 mmHg","血液 pH 值＞7.30","中心靜脈壓 9 cmH 2 O","B",null,[],"本題考點在於敗血症液體療法中哪項指標偏離正常、提示需要補液調節。敗血症因血管擴張與微血管滲漏造成有效循環血量不足，收縮壓＜80 mmHg 已低於維持組織灌流的門檻，代表血容量嚴重不足需積極補液，選 B。A 尿比重正常約 1.010–1.025，≦1.026 屬正常上緣，故錯。C 血液 pH＞7.30 接近正常下緣（正常 7.35–7.45），非補液主要依據，故錯。D 中心靜脈壓正常約 5–12 cmH₂O，9 cmH₂O 落在正常區間、前負荷尚可，故錯。判讀重點是辨識低血壓為灌流不足的關鍵警訊。","敗血症補液以恢復組織灌流為目標，臨床常用平均動脈壓（MAP）≧65 mmHg、CVP、尿量＞0.5 mL\u002Fkg\u002Fhr、乳酸清除率等作終點。低血壓反映分佈性休克的血管張力喪失與相對血容量不足。記憶對比：CVP 反映前負荷、血壓反映後負荷與灌流；四選項中唯有收縮壓明顯偏離救命門檻。",[24,27,30,33,35],{"term":25,"count":26},"敗血症",7,{"term":28,"count":29},"組織灌流",5,{"term":31,"count":32},"分佈性休克",4,{"term":34,"count":10},"中心靜脈壓正常值",{"term":36,"count":10},"收縮壓門檻",[38,42,47,52,57,63],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-109-1-medical-surgical-075","有關肉毒桿菌中毒的敘述，下列何者錯誤？",75,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-011","有關肝性腦病變之醫護處置，下列何者正確？",11,110,{"webId":48,"stem":49,"number":50,"year":46,"session":51},"nurse-110-2-medical-surgical-025","有關感覺神經性聽力喪失的敘述，下列何者正確？",25,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-111-2-medical-surgical-063","有關前列腺肥大與前列腺癌的敘述，下列何者錯誤？",63,111,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-112-3-medical-surgical-027","病人剛接受骨髓移植 2 週，主訴右上腹痛，評估有黃疸、腹水，下列何者是病人最有可能發生的問題？",27,112,3,{"webId":64,"stem":65,"number":66,"year":67,"session":10},"nurse-114-1-medical-surgical-021","正在接受體外放射線治療的癌症病人表示：「臉和頸部的皮膚發紅刺痛、脫屑，甚至有些部位會濕濕的，很不舒服」，下列處置何者正確？",21,114,"2026-09-04",1788510712975]