[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-112-1-內外科護理學-053","nurse-112-1-medical-surgical-053",112,1,53,"全球慢性阻塞性肺疾病倡議組織（Global Initiative for Chronic Obstructive Lung Disease, GOLD）將 COPD 嚴重度分為 GOLD 1～4 級，下列何者為分級依據？",{"A":14,"B":15,"C":16,"D":17},"肺餘容積（RV）","第一秒用力呼氣容積（FEV 1 ）","血氧濃度（SaO 2 ）","急性惡化的次數","B",null,[],"本題考點在於 GOLD 對慢性阻塞性肺疾病（COPD）氣流阻塞嚴重度的分級依據。GOLD 1～4 級是依吸入支氣管擴張劑後的第一秒用力呼氣容積（FEV1）占預測值百分比來分級，故選 B。A 肺餘容積雖在阻塞性疾病會上升，但非 GOLD 分級標準；C 血氧濃度反映氧合狀態，用於評估呼吸衰竭而非氣流阻塞程度；D 急性惡化次數與症狀屬 GOLD ABE 綜合評估中的風險分群依據，並非 1～4 級的分級標準。","COPD 診斷先看支氣管擴張後 FEV1\u002FFVC\u003C0.70 確認持續性氣流受限，再以 FEV1 占預測值分級：≥80% 為 GOLD1、50–79% GOLD2、30–49% GOLD3、\u003C30% GOLD4。另有結合症狀（mMRC\u002FCAT）與惡化史的 ABE 分群指導用藥。須分辨「嚴重度分級」用肺功能，「治療分群」用症狀與惡化史，兩軸並行。",[24,27,30,32,34],{"term":25,"count":26},"COPD",3,{"term":28,"count":29},"GOLD 分級",2,{"term":31,"count":10},"FEV1 占預測值",{"term":33,"count":10},"支氣管擴張後肺功能",{"term":35,"count":10},"氣流阻塞",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-medical-surgical-054","有關病人的肺部身體評估，下列結果何者異常？",54,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-112-2-medical-surgical-070","有關胰島素保存之護理指導，下列何者正確？",70,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",34,113,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-114-2-medical-surgical-032","有關高血鈉之敘述，下列何者正確？①血鈉的濃度＞130 mEq\u002FL ②導因之一為醛固酮過多症導致 ③尿比重上升 ④指導低鈉飲食如蘇打餅乾、白麵包",32,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-036","有關惡性腫瘤特性之敘述，下列何者錯誤？",36,106,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-107-1-medical-surgical-070","有關代謝性酸中毒造成之原因，下列何者錯誤？",107,"2026-09-04",1788510742176]