[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-078","nurse-111-1-medical-surgical-078",111,1,78,"有關敗血症之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血小板＞140,000 cells\u002FμL","尿量＜0.5 mL\u002Fkg\u002Fhr","膽紅素＞4 mg\u002FdL","收縮壓＜90 mmHg","A",null,[],"本題考點在於敗血症合併器官功能障礙的判讀指標。依敗血症的病生理,全身發炎反應會消耗並破壞血小板,故敗血症常見「血小板下降」,若血小板 >140,000 cells\u002FμL 屬正常範圍,並非敗血症的異常指標,A 敘述錯誤,為本題答案。B 尿量 \u003C0.5 mL\u002Fkg\u002Fhr 反映腎臟灌流不足與急性腎損傷,是器官灌流惡化指標,正確。C 膽紅素 >4 mg\u002FdL 反映肝功能障礙,正確。D 收縮壓 \u003C90 mmHg 反映循環衰竭與低血壓,正確。這些皆為敗血症惡化的器官功能指標。","敗血症由感染引發失控的全身性發炎反應,進展可致多重器官功能障礙(MODS)。凝血系統被活化與消耗,可導致血小板減少甚至瀰漫性血管內凝血(DIC)。評估工具如 qSOFA(收縮壓 ≤100、呼吸 ≥22、意識改變)與 SOFA(涵蓋呼吸、凝血、肝、心血管、中樞、腎),本題選項正對應器官功能惡化的方向:血小板應「低」、尿量應「少」、膽紅素應「高」、血壓應「低」。",[24,27,30,33,35],{"term":25,"count":26},"敗血症",7,{"term":28,"count":29},"血小板減少",3,{"term":31,"count":32},"少尿",2,{"term":34,"count":10},"器官功能障礙",{"term":36,"count":10},"低血壓",[38,42,47,51,56,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-medical-surgical-079","病人輸血 10 分鐘時出現蕁麻疹及哮喘之處置，下列何者錯誤？",79,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-medical-surgical-015","有關口腔癌的敘述，下列何者錯誤？",15,112,{"webId":48,"stem":49,"number":50,"year":46,"session":32},"nurse-112-2-medical-surgical-029","有關心臟節律器放置術後護理措施之敘述，下列何者不適宜？",29,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-113-2-medical-surgical-047","當一人施行心肺復甦術（CPR）時，下列何者應先施行 2 分鐘的急救後再求救？",47,113,{"webId":57,"stem":58,"number":10,"year":59,"session":10},"nurse-115-1-medical-surgical-001","陳先生T3～T5脊髓損傷，目前血壓250\u002F140 mmHg，心跳50～55次／分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象？",115,{"webId":61,"stem":62,"number":45,"year":63,"session":32},"nurse-106-2-medical-surgical-015","有關腹水病人居家照護之敘述，下列何者錯誤？",106,"2026-09-04",1788510735273]