[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-052":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-052","nurse-111-1-medical-surgical-052",111,1,52,"有關使用呼氣末期陽壓（PEEP）治療急性呼吸窘迫症候群的主要目的，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可避免肺纖維化的產生","可使吸氣時有更多氣體帶入肺內","可將 100%的氧氣帶入肺內","可避免吐氣時肺泡塌陷","D",null,[],"本題考點為呼氣末期陽壓（PEEP）治療急性呼吸窘迫症候群（ARDS）的主要目的。ARDS 因肺泡表面張力素喪失與肺水腫使肺泡於吐氣時塌陷，PEEP 在吐氣末維持正壓，可避免肺泡塌陷、維持功能性肺餘量並增加氣體交換面積、改善氧合，故選 D。A的避免肺纖維化並非 PEEP 目的、B使更多氣體進入是吸氣正壓的作用、C將 100% 氧帶入與 PEEP 機轉無關，皆非正解。判斷依據為 PEEP 作用於「吐氣末」維持肺泡開放。","PEEP 藉維持吐氣末正壓將塌陷肺泡重新張開（recruitment）、防止萎陷再張開造成的剪力傷害，提升順應性與氧合，可能得以降低吸入氧濃度而減少氧毒性。但過高 PEEP 會增加胸內壓、減少靜脈回流致心輸出量下降，並升高氣胸風險，需權衡。記憶：PEEP＝吐氣末撐開肺泡（防塌陷）；與 CPAP 概念相通但用於呼吸器設定。",[24,27,29,31],{"term":25,"count":26},"急性呼吸窘迫症候群",4,{"term":28,"count":10},"呼氣末期陽壓 PEEP",{"term":30,"count":10},"防止肺泡塌陷",{"term":32,"count":10},"改善氧合",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-medical-surgical-053","下列何者為肺水腫最典型的症狀？",53,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-medical-surgical-069","有關庫欣氏症候群（Cushing’s syndrome）的飲食指導，下列何者錯誤？",69,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-112-2-medical-surgical-003","有關糖尿病病人運動之護理指導，下列何者正確？①運動可降低細胞對胰島素的敏感性而降低血糖 ②運動最好在飯後 1～2 小時做 ③運動型態建議使用大肌肉群的有氧運動 ④切勿注射完胰島素後立刻運動，以免發生高血糖現象",3,112,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-113-2-medical-surgical-021","有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",21,113,{"webId":54,"stem":55,"number":56,"year":57,"session":46},"nurse-114-3-medical-surgical-025","有關器官移植後發生急性排斥反應，下列敘述何者最適當？",25,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-medical-surgical-069","有關糖尿病病人飲食控制原則之敘述，下列何者正確？",106,"2026-09-04",1788510734679]