[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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":26},"nurse-110-2-內外科護理學-078","nurse-110-2-medical-surgical-078",110,2,78,"下列何者為病人在休克進行期或不可逆期出現的表徵？",{"A":14,"B":15,"C":16,"D":17},"心跳 70～80 次／分","呼吸 12～15 次／分","血中 pH＞7.50","血中 PaCO 2 ＞40 mmHg","D",null,[],"本題考點為休克進行期(進展期)與不可逆期的生理表徵。依休克代償失敗的病生理,組織持續缺氧導致無氧代謝、乳酸堆積與呼吸衰竭,PaCO₂上升大於40 mmHg反映換氣不足與酸中毒惡化,故選D。(A)心跳70～80次\u002F分屬正常,失代償休克應呈代償性心搏過速。(B)呼吸12～15次\u002F分為正常值,休克早期常過度換氣。(C)pH＞7.50為鹼血症,而失代償性休克以代謝性酸中毒(pH下降)為特徵。考點在於辨識休克後期出現PaCO₂滯留與酸血症等失償訊號。","休克三期:代償期(交感興奮:心搏過速、血管收縮、過度換氣使PaCO₂偏低)、進行\u002F失償期(組織缺氧→乳酸堆積→代謝性酸中毒、微循環衰竭)、不可逆期(細胞死亡、多重器官衰竭)。後期呼吸肌疲乏使PaCO₂由低轉高,提示換氣衰竭與預後不良。記憶:早期「快而淺、CO₂偏低」,晚期「衰而滯、CO₂回升+pH下降」。可連結:乳酸清除、鹼缺失(base deficit)、多重器官功能障礙。",[24,27,29,32,34],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":10},"PaCO2",{"term":30,"count":31},"休克進行期與不可逆期",1,{"term":33,"count":31},"組織缺氧與乳酸",{"term":35,"count":31},"生命徵象變化",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-medical-surgical-079","有關急救藥物主要治療效果的敘述，下列何者錯誤？",79,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-111-2-medical-surgical-015","王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",15,111,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-112-1-medical-surgical-029","有關心律不整病人照護之敘述，下列何者錯誤？",29,112,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-113-1-medical-surgical-017","有關心肌梗塞後性生活的建議事項，下列敘述何者正確？①應該儘量避免以免再次發作 ②能量消耗大約與上下兩層樓相當 ③飽餐後或酒後比較適合性行為 ④性行為事後應預防性服用NTG ⑤應在熟悉的環境與伴侶進行以避免過度緊張與刺激 ⑥環境的室溫勿太冷或太熱",17,113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-medical-surgical-021","有關瀕死期癌症病人之臨終關懷，下列敘述何者正確？",21,114,{"webId":62,"stem":63,"number":44,"year":64,"session":31},"nurse-106-1-medical-surgical-015","有關消化性潰瘍主要包括的病變部位，下列何者正確？①口腔潰瘍 ②食道潰瘍 ③胃潰瘍 ④十二指腸潰瘍",106,"2026-09-04",1788510729552]