[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-fundamental-nursing-038":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":11},"nurse-112-1-基本護理學與護理行政-038","nurse-112-1-fundamental-nursing-038",112,1,38,"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？",{"A":15,"B":16,"C":17,"D":18},"嗜睡","尿量增加","脈搏、呼吸變慢","血壓下降","B",null,[],"本題考點在於低體溫（34.5℃）對各系統的生理影響，須找出「最不可能」出現者。低溫使全身代謝與中樞神經活動下降，故會出現嗜睡（A）、脈搏與呼吸變慢（C）、周邊血管與心輸出下降致血壓下降（D），這三者都符合低體溫表現。考點在於 B「尿量增加」——雖然初期低溫可能有短暫冷利尿，但在明顯低體溫、血壓下降、腎灌流不足的情境下，尿量應是減少而非增加，故 B 為最不可能出現的症狀，正解 B。低溫整體是「慢下來」的圖像，尿量增加與此方向不符。","低體溫的核心是代謝速率下降：意識、心跳、呼吸、血壓全面抑制，腎灌流減少導致寡尿。雖有『cold diuresis』現象，國考情境以整體代謝抑制與循環不足為主軸，故以尿量增加為異常選項。記法「低溫百物皆慢，唯尿不會多」。",[25,27,29,31],{"term":26,"count":11},"低體溫生理反應",{"term":28,"count":11},"代謝率下降",{"term":30,"count":11},"腎灌流與尿量",{"term":32,"count":11},"生命徵象變化",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-112-1-fundamental-nursing-039","有關於成人呼吸的敘述，下列何者錯誤？",39,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-112-2-fundamental-nursing-055","有關臨終病人的護理措施，下列何者適當？",55,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-113-1-fundamental-nursing-019","脊髓損傷的病人，無法自行排空膀胱，下列護理措施何者最適當？",19,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-2-fundamental-nursing-017","自然產後婦女有會陰傷口，產後以 41～43℃溫水執行坐浴，下列何者為其最主要目的？",17,114,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-106-1-fundamental-nursing-021","周先生，60 歲，3 天未解便，醫囑「Bisacodyl（Dulcolax）10 mg\u002Fsupp 1# supp stat」，下列措施何者適當？①給藥前予腹部評估 ②給藥時協助病人採取右側臥 ③以棉枝輕推藥物進入直腸 ④藥物推入後請病人保持原姿勢 15 分鐘",21,106,{"webId":59,"stem":60,"number":41,"year":61,"session":11},"nurse-107-1-fundamental-nursing-055","趙先生 72 歲，診斷 COPD，此次因呼吸困難入院，監測血氧飽和度 88%，護理師為病人進行初次評估時，下列何者最適當？",107,"2026-09-04",1788510741265]