[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-110-2-內外科護理學-052","nurse-110-2-medical-surgical-052",110,2,52,"當動脈氣體分析值為 pH：7.40、PaCO 2 ：42 mmHg、HCO 3 - ：24 mEq\u002FL、PaO 2 ：80 mmHg 時，有關病人呼吸器脫離（ventilator weaning）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"動脈氣體分析值正常，應可考慮開始脫離呼吸器","動脈氣體分析值為呼吸性酸中毒，必須先行矯正，尚不宜脫離呼吸器","動脈氣體分析值為呼吸性酸中毒，可刺激病人呼吸，所以應適合脫離呼吸器","PaCO 2 及 PaO 2 為正常但可能阻礙呼吸，故不宜脫離呼吸器","A",null,[],"本題考點在動脈血液氣體分析的判讀與呼吸器脫離時機。題中pH 7.40、PaCO₂ 42 mmHg、HCO₃⁻ 24 mEq\u002FL、PaO₂ 80 mmHg皆落在正常範圍(pH 7.35至7.45、PaCO₂ 35至45、HCO₃⁻ 22至26、PaO₂ 80至100),顯示氣體交換與酸鹼狀態穩定,可考慮開始脫離呼吸器,故選A。選項B、C誤判為呼吸性酸中毒,但PaCO₂並未升高、pH亦正常,判讀錯誤;選項D稱正常值會阻礙呼吸更無生理依據,故均非正解。","呼吸器脫離的前提是原發病因改善且氣體交換足夠,ABG正常是重要指標之一,另需評估自主呼吸試驗、RSBI(淺快呼吸指數小於105)、足夠的潮氣量與呼吸肌力(NIF)、血行動力學穩定。記憶正常值:pH 7.35至7.45、PaCO₂ 35至45 mmHg、HCO₃⁻ 22至26 mEq\u002FL、PaO₂ 80至100 mmHg。可連結呼吸性酸中毒判讀:pH下降且PaCO₂上升才成立,本題兩者皆正常故排除。",[24,27,30,33,35],{"term":25,"count":26},"動脈血液氣體分析",10,{"term":28,"count":29},"呼吸性酸中毒",8,{"term":31,"count":32},"ABG正常值",1,{"term":34,"count":32},"呼吸器脫離",{"term":36,"count":32},"RSBI",[38,42,47,52,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-medical-surgical-053","接受胸腔放液後的病人，下列何者最需緊急處理？",53,{"webId":43,"stem":44,"number":45,"year":46,"session":32},"nurse-111-1-medical-surgical-069","有關黏液水腫昏迷之檢查結果，下列何者錯誤？",69,111,{"webId":48,"stem":49,"number":50,"year":51,"session":32},"nurse-112-1-medical-surgical-003","有關多發性硬化症病人的自我照顧之護理指導，下列敘述何者錯誤？",3,112,{"webId":53,"stem":54,"number":55,"year":51,"session":50},"nurse-112-3-medical-surgical-041","腎衰竭病人的飲食護理指導，下列敘述何者正確？",41,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-114-1-medical-surgical-045","有關尿崩症病人之護理處置，下列何者錯誤？",45,114,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-115-2-medical-surgical-039","有關血液透析病人動靜脈瘻管的敘述，下列何者最適當？",39,115,"2026-09-04",1788510729290]