[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-2-基本護理學與護理行政-021","nurse-111-2-fundamental-nursing-021",111,2,21,"當一個人的動脈血中 pH 值：7.25，PaCO 2 ：65 mmHg，〔HCO 3- 〕：25 mEq\u002FL，在臨床上是屬於那一類酸鹼平衡失調？",{"A":15,"B":16,"C":17,"D":18},"呼吸性酸中毒","呼吸性鹼中毒","代謝性酸中毒","代謝性鹼中毒","A",null,[],"本題考點是動脈血液氣體分析的酸鹼判讀。依酸鹼判讀三步驟:先看pH 7.25低於正常7.35～7.45屬酸中毒;再看PaCO₂ 65 mmHg高於正常35～45 mmHg,顯示二氧化碳滯留為酸的來源,方向與pH一致;再看HCO₃⁻ 25 mEq\u002FL落在正常22～26區間,尚未代償。CO₂上升導致pH下降即典型呼吸性酸中毒,故選A。B呼吸性鹼中毒pH應上升、PaCO₂應下降,不符。C代謝性酸中毒應為HCO₃⁻下降,但此題HCO₃⁻正常,不符。D代謝性鹼中毒pH應上升,不符。考點在於以PaCO₂變化對應pH方向判定呼吸性酸中毒且尚未代償。","酸鹼判讀口訣:pH定酸鹼,PaCO₂看呼吸,HCO₃⁻看代謝,誰與pH同向誰是原發。此題pH↓、PaCO₂↑,兩者一致指向呼吸性酸中毒;HCO₃⁻正常代表腎臟尚未啟動代償(急性期)。PaCO₂與pH呈反向關係:CO₂溶於血生成碳酸使pH下降。臨床常見於換氣不足,如COPD急性發作、呼吸抑制。若為慢性代償,HCO₃⁻會代償性上升。記憶:呼吸性看CO₂與pH是否相反(相反即原發呼吸問題)。",[25,28,29,31],{"term":26,"count":27},"動脈血氣分析",1,{"term":15,"count":27},{"term":30,"count":27},"PaCO2正常值",{"term":32,"count":27},"酸鹼代償判讀",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-2-fundamental-nursing-022","病人目前正接受輸液治療，醫囑：D 5 S 80 mL\u002Fhour I.V.F.，對於此輸液，下列敘述何者錯誤？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":27},"nurse-112-1-fundamental-nursing-038","亞翔不慎溺水被送至醫院急診室時，其體溫僅 34.5℃，最不可能出現下列那一種症狀？",38,112,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-112-2-fundamental-nursing-052","王先生住院治療病情已穩定，主治醫師同意辦理出院手續，但王先生自認為病情尚無法回家，因此自行至他院就診要求住院，此現象王先生在原醫院應該是何種出院方式？",52,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-fundamental-nursing-020","下列那些藥物會造成便秘？①鐵劑 ②鈣離子阻斷劑 ③抗生素 ④含鎂制酸劑 ⑤鴉片類止痛藥",20,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-115-1-fundamental-nursing-024","病人接受心導管檢查後，下列何處是評估下肢血液循環的最佳部位？",24,115,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-106-2-fundamental-nursing-038","使用下列何種藥物易導致便秘的問題？①長期使用抗生素 ②含鎂制酸劑 ③鐵劑 ④抗膽鹼激素藥物（如：Atropine） ⑤麻醉性止痛劑（如：Morphine）",106,"2026-09-04",1788510737662]