[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-medical-surgical-064":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-064","nurse-112-1-medical-surgical-064",112,1,64,"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？",{"A":14,"B":15,"C":16,"D":17},"pH 7.27、PaCO 2 50 mmHg、HCO 3- 25 mmHg、PaO 2 80 mmHg","pH 7.30、PaCO 2 52 mmHg、HCO 3- 30 mmHg、PaO 2 81 mmHg","pH 7.39、PaCO 2 48 mmHg、HCO 3- 32 mmHg、PaO 2 89 mmHg","pH 7.37、PaCO 2 47 mmHg、HCO 3- 31 mmHg、PaO 2 81 mmHg","A",null,[],"本題考點在於動脈血液氣體判讀未代償性呼吸性酸中毒。判讀順序先看 pH：正常 7.35～7.45，A 的 pH 7.27 明顯偏酸；再看 PaCO₂：A 為 50 mmHg（>45）偏高，屬呼吸性因素造成酸中毒，方向一致；最後看 HCO₃⁻：A 為 25 mmHg 落在正常範圍（22～26），代表腎臟尚未代償，符合「未代償性呼吸性酸中毒」，故選 A。B 的 HCO₃⁻ 30 已上升屬部分代償；C、D 的 pH 皆在正常範圍，不符酸中毒，皆排除。","血氣三步判讀口訣：一看 pH 定酸鹼、二看 PaCO₂（呼吸）與 HCO₃⁻（代謝）誰與 pH 同向即為原發、三看另一數值是否反向移動判代償程度。未代償指 pH 異常且代償系統仍在正常值；部分代償指 pH 仍異常但代償值已偏移；完全代償指 pH 回到正常。呼吸性酸中毒常見於換氣不足、COPD、呼吸抑制。可連結代償方向與時間差（呼吸代償快、腎臟代償慢）。",[24,27,30,32,34],{"term":25,"count":26},"呼吸性酸中毒",8,{"term":28,"count":29},"動脈血氣分析",2,{"term":31,"count":29},"pH 判讀",{"term":33,"count":10},"PaCO2 升高",{"term":35,"count":10},"HCO3 正常未代償",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-1-medical-surgical-065","有關輸尿管結石常見之臨床症狀，下列何者錯誤？",65,{"webId":42,"stem":43,"number":10,"year":9,"session":44},"nurse-112-3-medical-surgical-001","陳先生因車禍造成頸椎第 5～6 節完全損傷，已度過脊髓休克期，目前進行膀胱訓練，下列敘述何者正確？ ①屬於痙攣型神經性膀胱 ②只要薦神經受到刺激，即會反射排尿 ③可以利用 Crede’s method 以手握拳，壓在膀胱，協助排空 ④當自解：餘尿量＝2：1，且餘尿小於 100 mL 表示膀胱訓練成功",3,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-medical-surgical-045","張太太，罹患糖尿病2年，平日使用口服抗血糖藥物控制血糖，今日在家昏倒被送至急診，醫師初步診斷為高滲透壓高血糖狀態（HHS），病人會呈現的徵象，下列何者正確？①呼吸速率26次／分 ②血壓166\u002F84 mmHg ③尿酮呈陽性反應，明顯升高 ④血糖為750 mg\u002FdL。",45,113,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-114-2-medical-surgical-043","陳太太，58 歲，近期被診斷罹患阿茲海默症，目前出現情緒不穩、易怒，上街買東西會忘了付錢，常常忘記梳洗就直接上床睡覺，也經常懷疑兒子在家偷錢，根據狀況，目前其處在阿茲海默症那一期？",43,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-1-medical-surgical-047","有關異位性過敏病人之護理指導，下列何者正確？",47,106,{"webId":61,"stem":62,"number":10,"year":63,"session":29},"nurse-107-2-medical-surgical-001","古先生，35 歲，為貨運司機，因腰椎椎間盤突出接受手術治療，術後依醫師指示需穿背架 6 個月，下列敘述何者錯誤？",107,"2026-09-04",1788510742262]