[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-111-1-內外科護理學-032","nurse-111-1-medical-surgical-032",111,1,32,"下列血流動力學檢查結果何者正常？",{"A":14,"B":15,"C":16,"D":17},"右心房壓力 130 mmHg","右心室收縮壓 120 mmHg","左心室舒張壓 40 mmHg","上腔靜脈壓 8 mmHg","D",null,[],"本題考點是血流動力學參數的正常值判讀。依各部位壓力正常範圍,上腔靜脈壓約等於中心靜脈壓,正常值約 2～8 mmHg,故選項 D『上腔靜脈壓 8 mmHg』落在正常範圍,選 D。A 錯,右心房壓正常僅約 2～6 mmHg,130 mmHg 遠遠過高、不合生理。B 錯,右心室收縮壓正常約 20～30 mmHg,120 mmHg 是左心室(體循環)等級的壓力,對右心室而言異常過高。C 錯,左心室舒張壓正常應很低(約 5～12 mmHg),40 mmHg 明顯升高、屬異常。故唯 D 為正常值。","血流動力學正常值速記:右心房\u002F中心靜脈壓 CVP 2～6(上腔靜脈壓相近,約 2～8);右心室 20～30\u002F2～8;肺動脈 20～30\u002F8～15;肺微血管楔壓 PCWP 8～12;左心室約 120\u002F5～12;主動脈(體循環)120\u002F80。判讀邏輯:右側(肺循環前)壓力低、左側(體循環)壓力高;凡右心出現接近體循環的三位數壓力即異常。本題只有 D 的上腔靜脈壓 8 mmHg 落在低壓靜脈系統的正常帶,其餘皆數值錯置。",[24,26,28,30],{"term":25,"count":10},"血流動力學正常值",{"term":27,"count":10},"中心靜脈壓 CVP",{"term":29,"count":10},"右心與左心壓力差異",{"term":31,"count":10},"上腔靜脈壓 2~8 mmHg",[33,37,42,47,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-033","輸注下列何種藥物時，需以不透光錫箔紙包住點滴瓶及輸液管？",33,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-medical-surgical-049","有關愛滋病病人護理指導的敘述，下列何者正確？",49,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-063","有關抗利尿激素分泌不當症候群（SIADH）病人之臨床表徵，下列何者錯誤？",63,112,{"webId":48,"stem":49,"number":10,"year":50,"session":41},"nurse-113-2-medical-surgical-001","腦瘤病人接受放射線治療，下列敘述何者正確？①臨床上常用 I 125 經由立體定位手術直接植入腫瘤進行治療 ②可以在手術後立即合併使用放射線治療，以促進治療效果 ③手術後通常以單次大劑量放射線治療為主 ④可以與化學療法合併使用，適用於惡性腦瘤和轉移癌之治療",113,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-114-3-medical-surgical-005","有關單純頭部損傷病人，其顱內壓升高非代償期初期階段的徵象，下列敘述何者正確？",5,114,3,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-medical-surgical-049","有關全身性紅斑性狼瘡女性病人，於類固醇藥物治療後症狀緩解已 1 年之護理指導，下列何者錯誤？",106,"2026-09-04",1788510734518]