[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":25},"nurse-110-2-內外科護理學-054","nurse-110-2-medical-surgical-054",110,2,54,"下列何者不是造成肺泡通氣不足而導致呼吸衰竭的原因？",{"A":14,"B":15,"C":16,"D":17},"睡眠呼吸中止症","頸椎損傷","肺栓塞","安眠藥服用過量","C",null,[],"本題考點在肺泡通氣不足型呼吸衰竭的成因辨識。肺泡通氣不足(第二型、高碳酸血症型)源自呼吸驅動或呼吸幫浦功能受損,如睡眠呼吸中止症、頸椎損傷影響呼吸肌神經支配、安眠藥過量抑制延腦呼吸中樞,選項A、B、D皆會造成通氣不足。肺栓塞則是肺循環血流受阻造成通氣灌流不均與換氣障礙,屬第一型低血氧型呼吸衰竭,並非通氣不足所致,故選C為答案。","呼吸衰竭分兩型:第一型(低血氧型,PaO₂下降、PaCO₂正常或下降)源自換氣障礙如肺栓塞、肺炎、ARDS;第二型(高碳酸血症型,PaCO₂上升)源自通氣幫浦問題如中樞抑制、神經肌肉病變、胸廓受限。記憶:栓塞塞的是血流(灌流),造成通氣灌流不匹配的換氣問題;通氣不足塞的是氣體進出。可連結肺泡通氣公式:PaCO₂與肺泡通氣量成反比。",[24,26,28,30,32],{"term":16,"count":25},9,{"term":27,"count":10},"呼吸衰竭分型",{"term":29,"count":10},"通氣灌流不匹配",{"term":31,"count":10},"高碳酸血症",{"term":33,"count":34},"肺泡通氣不足",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-055","下列何者為肺炎病人最可能出現的臨床表徵？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-medical-surgical-071","有關糖尿病病人足部護理，下列何者正確？①直線修剪趾甲緣 ②每日以溫水浸泡清洗足部 30 分鐘 ③穿著色深、柔軟的尼龍襪，且每日更換 ④足部傷口沖洗後，消毒敷料覆蓋，紙膠固定，應儘速就醫",71,111,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-112-1-medical-surgical-005","有關顱內壓升高的藥物治療，下列敘述何者錯誤？",5,112,{"webId":51,"stem":52,"number":53,"year":49,"session":54},"nurse-112-3-medical-surgical-043","有關庫欣氏症候群症狀的病理機轉，下列何者錯誤？",43,3,{"webId":56,"stem":57,"number":58,"year":59,"session":34},"nurse-114-1-medical-surgical-047","有關2020年美國心臟醫學會（American Heart Association, AHA）公告準則，啟動院內心臟停止（IHCA）生命之鏈（chain of survival）的次序，下列何者正確？①提供高品質心肺復甦        ②去顫   ③早期監測與預防    ④心臟驟停後照護    ⑤復原   ⑥啟動緊急應變系統",47,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-medical-surgical-041","有關腎病症候群病人的護理指導，下列何者正確？",41,115,"2026-09-04",1788510729299]