[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-076","nurse-111-1-medical-surgical-076",111,1,76,"下列何者不是休克時會發生之代償機轉？",{"A":14,"B":15,"C":16,"D":17},"刺激交感神經分泌腎上腺素，造成血管收縮","刺激交感神經，使呼吸加速及加深","刺激內分泌系統分泌血管緊縮素，促進血管收縮","刺激消化道系統，促進腸胃蠕動","D",null,[],"本題考點在於休克時交感神經與內分泌的代償機轉。依休克代償生理,當有效循環容積下降,身體透過交感神經興奮與神經內分泌反應維持血壓,包括 A 分泌腎上腺素使血管收縮、B 呼吸加速加深以增加氧合、C 活化腎素—血管收縮素系統促進血管收縮,這三者皆屬正確代償。而交感神經興奮時會「抑制」而非促進腸胃蠕動(將血流由腸胃道分流至心腦重要器官),故 D「刺激消化道促進腸胃蠕動」不是休克代償機轉,為本題答案。","休克代償的核心是「血流重新分配」:交感神經興奮使皮膚、腎臟、腸胃道血管收縮以保住心與腦的灌流,因此腸胃蠕動減弱、腸鳴音下降、尿量減少、四肢冰冷蒼白。神經內分泌軸包括腎上腺素\u002F正腎上腺素、RAAS(腎素—血管收縮素—醛固酮)與 ADH,共同達成升壓與保水。記憶:休克代償是「保命器官優先」,消化道被犧牲而非被促進。",[24,27,29,31,33],{"term":25,"count":26},"休克代償機轉",3,{"term":28,"count":10},"交感神經",{"term":30,"count":10},"腎素血管收縮素系統",{"term":32,"count":10},"血流重新分配",{"term":34,"count":10},"腸胃蠕動抑制",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-medical-surgical-077","下列何種情況最可能引發神經性休克？",77,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-medical-surgical-013","有關迴腸造瘻口的護理指導，下列何者正確？",13,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-medical-surgical-027","有關第一期心臟復健，下列敘述何者錯誤？",27,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-medical-surgical-045","有關胰島素的使用，下列何者錯誤？",45,113,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-3-medical-surgical-049","有關泌尿道感染，下列敘述何者最適當？①確立診斷是指尿液培養每毫升菌落>10 5 個 ②上泌尿道感染是指尿道炎及膀胱炎 ③膀胱炎常見的致病菌為大腸桿菌 ④症狀改善或沒發燒即可停用抗生素",49,114,{"webId":61,"stem":62,"number":43,"year":63,"session":49},"nurse-106-2-medical-surgical-013","分泌胃酸之部位，下列何者正確？",106,"2026-09-04",1788510735253]