[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-078":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-078","nurse-111-2-medical-surgical-078",111,2,78,"有關矯正休克病人低血壓的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"應優先輸血以恢復全身循環血量","放置靜脈導管時應優先使用大管徑的導管","靜脈導管放置應優先考慮中心靜脈導管","密切注意病人血壓的變化","A",null,[],"本題考點在於休克低血壓的矯正處置，選錯誤者。矯正休克低血壓的首要與最優先是快速輸注晶體或膠體溶液（靜脈輸液）恢復循環血量，並非一律「優先輸血」；輸血僅在失血性休克、血紅素明顯不足時才需要，故 A 將輸血列為所有休克的優先做法錯誤，為答案。考點在於補充血容量的優先順序。B 正確，選用大管徑導管可提高輸液速率、快速擴容。C 正確，中心靜脈導管有利大量快速給液並監測中心靜脈壓。D 正確，須密切監測血壓變化以評估治療反應。","休克復甦以恢復組織灌流為目標，先建立大口徑靜脈通路快速給等張晶體液（如生理食鹽水、林格氏液）擴容，再依病因處置：失血性才需輸血，敗血性加抗生素與升壓劑，心因性則謹慎給液避免肺水腫。大管徑（如 14–16G）依 Poiseuille 定律可大幅提升流速。",[24,27,29,31],{"term":25,"count":26},"休克復甦",1,{"term":28,"count":26},"晶體液擴容優先",{"term":30,"count":26},"大管徑導管",{"term":32,"count":26},"失血性才輸血",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-079","有關敗血症病人臨床徵象與症狀的敘述，下列何者正確？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-medical-surgical-015","有關急性胃炎之護理措施，下列何者錯誤？",15,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-medical-surgical-029","病人因住宅火警遭燒傷，身體後背部、右後上肢、左後上肢及左右臀部燒傷，以蘭德—布諾得（Lund & Browder）方法計算燒傷範圍，下列何者正確？",29,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-1-medical-surgical-027","有關帶狀疱疹臨床症狀之敘述，下列何者正確？",27,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-031","下列何者不是愛滋病人服用高效能抗反轉錄病毒治療（俗稱雞尾酒療法）之副作用？",31,115,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-107-1-medical-surgical-015","有關肝癌病人接受動脈栓塞療法（Transcatheter Arterial Embolization, TAE）之敘述，下列何者正確？",107,"2026-09-04",1788510738956]