[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-fundamental-nursing-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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":11},"nurse-111-1-基本護理學與護理行政-037","nurse-111-1-fundamental-nursing-037",111,1,37,"某男士在高溫環境工作大量流汗，感覺頭暈，虛弱不適，至急診就醫時意識清楚，臉色蒼白、皮膚濕冷、體溫 37.9℃、血壓 100\u002F65 mmHg，依上述症狀判斷其可能發生的問題為下列何者？",{"A":15,"B":16,"C":17,"D":18},"中暑","熱衰竭","熱痙攣","熱感冒","B",null,[],"本題考點為熱急症的鑑別診斷。個案高溫下大量流汗、頭暈虛弱、意識清楚、臉色蒼白、皮膚濕冷、體溫僅 37.9°C(未顯著升高),符合熱衰竭(heat exhaustion)——因大量出汗造成水分電解質流失、血容量不足所致,故選 B。A 中暑(heat stroke)的關鍵是體溫飆高(常 >40°C)、皮膚乾熱無汗、意識改變,與本題濕冷有汗、意識清楚不符。C 熱痙攣主要表現為運動後肌肉疼痛性痙攣(如小腿、腹部),本題無痙攣描述。D「熱感冒」非正式熱急症診斷名詞,屬干擾選項。體溫是否過高與有無出汗是鑑別熱衰竭與中暑的關鍵。","熱急症光譜:熱痙攣(電解質流失致肌肉痙攣、體溫正常)→熱衰竭(體液電解質大量流失、血容量不足,皮膚濕冷蒼白、體溫正常或略升、意識清楚、頭暈噁心)→中暑(體溫調節失衡崩潰,核心體溫 >40°C、皮膚乾熱無汗、中樞神經功能障礙如意識混亂或昏迷,屬醫療急症)。鑑別重點:中暑=乾熱無汗+高燒+意識改變,熱衰竭=濕冷有汗+體溫近正常+意識清楚。熱衰竭處置為移至陰涼處、補充水分電解質、平躺抬腿;未及時處理可能進展為中暑。",[25,26,28,30],{"term":16,"count":11},{"term":27,"count":11},"中暑鑑別",{"term":29,"count":11},"體液電解質流失",{"term":31,"count":11},"體溫與出汗判讀",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-111-1-fundamental-nursing-038","關於影響呼吸速率之相關因素的敘述，下列何者正確？",38,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-111-2-fundamental-nursing-054","依照衛生福利部公告之腦死判定準則，下列何者屬於腦死的認定標準？①低體溫昏迷 ②無腦幹反射 ③須經一次腦幹功能測試 ④無自行呼吸",54,2,{"webId":43,"stem":44,"number":45,"year":46,"session":11},"nurse-112-1-fundamental-nursing-068","針對有效溝通技巧之敘述，下列何者最適宜？",68,112,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-113-2-fundamental-nursing-006","護理師首次照護王先生，先查閱其病歷資料，進入病室後向王先生自我介紹，隨後運用會談方式了解其昨天晚上睡不好的原因，並提供情緒的安撫。王先生感謝地說：「謝謝您這麼關心我，我現在感覺好多了。」有關治療性人際關係過程的敘述，下列何者錯誤？",6,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-fundamental-nursing-010","肛門栓劑使用後，遇體溫溶解，主要是藉由下列何者解剖位置的吸收，產生功效？",10,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":11},"nurse-106-1-fundamental-nursing-054","病人靜脈輸液管路阻塞且測試無回血時，下列立即處置何者最適切？",106,"2026-09-04",1788510733779]