[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-內外科護理學-030","nurse-111-1-medical-surgical-030",111,1,30,"有關心因性休克之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"心臟幫浦功能障礙造成循環衰竭","最常見之致病原因為心肌梗塞","最常見之症狀為呼吸停止","心輸出量不符身體組織所需","C",null,[],"本題考點是心因性休克的定義、病因與臨床表現,採否定題。依定義,心因性休克是心臟幫浦功能衰竭致心輸出量不足以供應組織灌流,最常見病因為大範圍急性心肌梗塞;其主要表現是低血壓、組織灌流不足(意識改變、少尿、四肢濕冷),而非『呼吸停止』,故選項 C『最常見之症狀為呼吸停止』為錯誤敘述,選 C。A 正確,本質是心臟幫浦功能障礙造成循環衰竭。B 正確,最常見致病原因為心肌梗塞。D 正確,心輸出量不足以符合身體組織所需正是其核心定義。","心因性休克病生理:心肌大面積受損→心輸出量↓、每搏輸出量↓→血壓↓、組織灌流不足→代償性心搏過速、周邊血管收縮(四肢濕冷、少尿、意識模糊),同時左心衰竭致肺水腫、呼吸困難。主要死因是循環衰竭而非原發性呼吸停止,呼吸表現多為喘、肺水腫而非首發症狀。處置方向:改善心肌灌流(再灌流治療)、正性肌力藥、必要時主動脈氣球幫浦(IABP)。與低血容休克差別在『幫浦壞』而非『血量少』。",[24,27,29,31],{"term":25,"count":26},"心因性休克",7,{"term":28,"count":10},"心臟幫浦功能衰竭",{"term":30,"count":10},"心肌梗塞為最常見病因",{"term":32,"count":10},"心輸出量不足致灌流不良",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-031","有關聽診心音之敘述，下列何者錯誤？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-047","有關燒傷的病生理變化，下列何者錯誤？",47,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-medical-surgical-061","有關壓力性尿失禁之敘述，下列何者錯誤？",61,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-medical-surgical-049","有關自動體外電擊去顫器（AED）操作，下列敘述何者錯誤？",49,113,{"webId":54,"stem":55,"number":56,"year":57,"session":56},"nurse-114-3-medical-surgical-003","有關阿茲海默症的早期臨床表徵，下列敘述何者正確？①對人和周遭發生的事件興趣降低 ②無法進行簡單的計算 ③學習新事物之能力降低 ④工作表現變差 ⑤夜間活動增加",3,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-047","有關異位性過敏病人之護理指導，下列何者正確？",106,"2026-09-04",1788510734496]