[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":26},"nurse-110-1-基本護理學與護理行政-031","nurse-110-1-fundamental-nursing-031",110,1,31,"「換氣過度」病人的動脈氣體分析結果，下列何者最有可能？",{"A":15,"B":16,"C":17,"D":18},"呼吸性酸中毒","呼吸性鹼中毒","代謝性酸中毒","代謝性鹼中毒","B",null,[],"本題考點是換氣過度對動脈血液氣體與酸鹼的影響。依酸鹼平衡機轉，換氣過度使二氧化碳過度排出、動脈二氧化碳分壓（PaCO₂）下降，碳酸減少、血中氫離子降低、pH 上升，屬呼吸性鹼中毒，故選 B。A 呼吸性酸中毒相反，是換氣不足致 PaCO₂ 上升；C 代謝性酸中毒源於酸增加或碳酸氫根喪失（如糖尿病酮酸中毒、腹瀉），與呼吸過快無直接因果；D 代謝性鹼中毒源於酸喪失或鹼過多（如嘔吐、過量制酸劑）。考點在連結「過度換氣→CO₂ 排出過多→呼吸性鹼」，並與其他三型酸鹼失衡的成因區隔。","判讀口訣：呼吸性看 CO₂、代謝性看 HCO₃⁻；CO₂ 與 pH 反向（CO₂↑→酸），HCO₃⁻ 與 pH 同向。過度換氣（焦慮、發燒、疼痛、缺氧代償）致 PaCO₂＜35 mmHg、pH＞7.45 即呼吸性鹼，臨床常見手足抽搐與口周麻木（因鹼中毒使游離鈣下降）。以紙袋回吸或處理誘因可矯正。",[25,27,29,31],{"term":16,"count":26},2,{"term":28,"count":26},"換氣過度",{"term":30,"count":11},"PaCO2",{"term":32,"count":11},"酸鹼平衡判讀",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-110-1-fundamental-nursing-032","病人為左手蜂窩性組織炎，需接受靜脈抗生素治療至少二至三星期時，有關注射部位選擇的注意事項，下列何者正確？①應優先選擇近心側小靜脈 ②應選擇患肢側靜脈，使抗生素藥效較快速作用 ③應以平滑柔軟且摸起來有彈性的血管為主 ④病人的右手為最好的注射選擇部位",32,{"webId":39,"stem":40,"number":41,"year":10,"session":26},"nurse-110-2-fundamental-nursing-048","王老太太，85 歲，尾薦骨處出現 5×6×1 公分的壓傷，導致壓傷的可能原因下列何者錯誤？",48,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-111-1-fundamental-nursing-062","強調「團體價值觀與文化、員工參與式決策」，屬於下列何種管理理論？",62,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-fundamental-nursing-020","病人疑似過敏性休克，醫囑：adrenalin（epinephrine）1mg\u002FmL\u002Famp 0.3mg IM St.，下列給藥方式何者錯誤？",20,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-fundamental-nursing-044","依 Sullivan（2008）提出問題解決過程的七步驟中，首要進行下列那一步驟？",44,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-fundamental-nursing-038","當病房護理人力結構中，臨床經驗 3 年以上的護理師僅有 3 人，其餘臨床年資皆為 1 年以下，此情況最適合採用下列何種護理照護模式？",38,114,3,"2026-09-04",1788510720175]