[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-111-1-內外科護理學-034","nurse-111-1-medical-surgical-034",111,1,34,"下列何者是心肌梗塞最常見且會導致死亡的併發症？",{"A":14,"B":15,"C":16,"D":17},"心因性休克","心肌梗塞再度發生","心律不整","急性肺水腫","C",null,[],"本題考點為心肌梗塞（MI）後最常見且致死的併發症。心肌缺血壞死會破壞心肌的電傳導組織與自律性，使心律不整（arrhythmia）成為 MI 後最常見的併發症，其中心室顫動是猝死的主因，故選 C。心因性休克（A）雖致死率高但發生率較低，需大面積梗塞才出現；再梗塞（B）與急性肺水腫（D）皆屬可能併發症，但發生頻率與立即致死角色都不及心律不整。判斷依據為「最常見＋致死」兩條件同時成立者是心律不整。","MI 後 24 小時內心電不穩定，心室早期收縮（PVC）易惡化為心室頻脈或心室顫動，因此急性期須持續心電圖監測並備好去顫器。病生理上，缺血區與正常區傳導速度不一致形成折返（re-entry）迴路，是致命性心律不整的機轉。記憶口訣：MI 併發症「電（心律不整）→泵（心衰\u002F休克）→破（心室壁破裂）」依時序思考，早期以電氣性問題最致命。",[24,26,29,31],{"term":16,"count":25},5,{"term":27,"count":28},"心室顫動",2,{"term":30,"count":10},"心肌梗塞併發症",{"term":32,"count":10},"折返機轉",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-035","有關缺鐵性貧血病人的護理措施，下列何者正確？①教導病人使用吸管吸食液態鐵劑 ②鼓勵病人飯後服用鐵劑以增加鐵的吸收 ③鼓勵病人多攝取富含維生素 C 的食物 ④注射鐵劑後應避免立即拔出針頭",35,{"webId":39,"stem":40,"number":41,"year":9,"session":28},"nurse-111-2-medical-surgical-051","下列何者為與第一型立即性過敏反應有密切關聯的免疫球蛋白？",51,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-065","有關輸尿管結石常見之臨床症狀，下列何者錯誤？",65,112,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-113-2-medical-surgical-003","有關癲癇重積狀態（status epilepticus）的敘述，下列何者錯誤？",3,113,{"webId":53,"stem":54,"number":55,"year":56,"session":50},"nurse-114-3-medical-surgical-007","有關胃食道逆流之護理指導，下列敘述何者最適當？①採床頭抬高的姿勢睡覺 ②穿緊身衣防止胃內容物逆流 ③進食後需躺平休息 ④避免提重物或彎腰運動",7,114,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-1-medical-surgical-051","在正常生理狀態下，下列何者為刺激呼吸中樞而影響呼吸之主要物質？",106,"2026-09-04",1788510734525]