[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-110-1-內外科護理學-079","nurse-110-1-medical-surgical-079",110,1,79,"有關休克初期身體啟動之正常代償機轉，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"副交感神經釋放腎上腺素使心跳加快","腎臟血流減少","四肢溫度降低","全身末梢血管收縮","A",null,[],"本題考點在於休克初期身體的正常代償機轉。休克初期主要由「交感神經」興奮並釋放兒茶酚胺使心跳加快、心收縮力增強，題目誤植為副交感神經，故敘述錯誤者為A。選項B正確，代償時血流重新分布，腎臟等非重要器官血流減少以優先供應心腦。選項C正確，末梢血管收縮使四肢血流減少、溫度降低、皮膚濕冷。選項D正確，交感神經興奮使全身末梢血管收縮以維持血壓與中心灌流。故將交感神經誤為副交感神經、機轉張冠李戴者為A。","休克代償核心在交感神經—腎上腺髓質軸活化：釋放腎上腺素與正腎上腺素，造成心跳與收縮力上升、周邊與內臟血管收縮、血流集中至心腦（血流重分布）；同時腎素—血管收縮素—醛固酮系統與抗利尿激素啟動保鈉保水。臨床表現：心搏過速、脈壓變窄、皮膚濕冷蒼白、尿量減少。副交感神經作用相反（心跳變慢），故不會是休克代償的機制。分期記憶：代償期→進展期→不可逆期。可連結：兒茶酚胺、血流重分布、腎素—血管收縮素—醛固酮系統、脈壓變窄。",[24,27,30,32],{"term":25,"count":26},"兒茶酚胺",4,{"term":28,"count":29},"休克代償機轉",3,{"term":31,"count":10},"交感神經興奮",{"term":33,"count":10},"血流重分布",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-080","下列何者不屬於傳染病的護理評估項目？",80,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-medical-surgical-016","有關膽結石好發之高危險群，下列何者最不可能？",16,111,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"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？",30,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-112-2-medical-surgical-068","有關嗜鉻細胞瘤病人的護理措施，下列何者錯誤？",68,112,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-113-3-medical-surgical-042","有關愛迪生危機的特徵，下列何者正確？",42,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-036","有關肺栓塞造成的通氣與灌流比失衡（ventilation and perfusion mismatch）之敘述，下列何者正確？",36,115,"2026-09-04",1788510721540]