[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-047":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-111-2-內外科護理學-047","nurse-111-2-medical-surgical-047",111,2,47,"有關燒傷的病生理變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"燒傷 48 小時內，應密切監測鉀離子，以避免高血鉀影響心臟功能及危及生命","燒傷初期病人會出現少尿、尿液濃縮及尿比重增加","大範圍燒傷面積病人常在燒傷後 72 小時出現壓力性潰瘍","在燒傷後 48～72 小時，病人會出現血比容升高、血鈉上升以及尿量減少","D",null,[],"本題考點為燒傷分期的病生理變化,關鍵在體液移動的時間軸。燒傷後 48～72 小時進入「利尿期(體液回吸收期)」,微血管通透性恢復,組織間液回流入血管內,血液被稀釋,故此時血比容應「下降」、血鈉下降、尿量「增加」,而非升高與減少,故 D 敘述錯誤,為本題答案。A、B 正確:燒傷 48 小時內為休克期,細胞損傷釋出鉀致高血鉀須監測,且血漿滲漏至組織致少尿、尿濃縮、尿比重上升;C 大範圍燒傷後易出現壓力性潰瘍(Curling's ulcer),敘述合理。","燒傷體液變化分兩期是核心考點。休克期(0～48 小時):微血管通透性增加,血漿與電解質滲入組織形成水腫,血管內容積減少→血比容「升高」、少尿、尿濃縮;細胞破壞釋鉀→高血鉀。利尿期(約 48～72 小時後):微血管修復,組織水腫液回吸收入血管→血液稀釋、血比容與血鈉「下降」、尿量增加,此時反而要防低血鉀。D 選項把利尿期的變化描述成休克期方向(血比容升、血鈉升、尿量減),正好相反故錯。Curling's ulcer 為燒傷壓力性胃潰瘍,是大面積燒傷的典型併發症。",[24,27,29,31],{"term":25,"count":26},"燒傷病生理",1,{"term":28,"count":26},"休克期與利尿期",{"term":30,"count":26},"體液移動與血比容變化",{"term":32,"count":26},"Curling's ulcer",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-048","有關過敏反應護理指導的敘述，下列何者錯誤？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-064","王先生的動脈血液氣體分析判讀結果為未代償性呼吸性酸中毒，下列敘述何者正確？",64,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-medical-surgical-078","當車禍造成嚴重創傷的病人送到急診出現：脈搏 124 次／分、呼吸 32 次／分胸部起伏明顯，血壓 130\u002F100 mmHg、皮膚溼且冰冷、尿量減少、呈現呼吸性鹼中毒情形，下列休克階段的分期，何者正確？",78,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-medical-surgical-046","有關腦下垂體中風之臨床表徵，下列何者錯誤？",46,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-medical-surgical-050","有關H1N1流感之敘述，下列何者錯誤？",50,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-064","有關雙胍類降血糖藥物 Metformin（Glucophage）之敘述，下列何者正確？",106,"2026-09-04",1788510738657]