[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":64},"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":27},"nurse-112-2-基本護理學與護理行政-021","nurse-112-2-fundamental-nursing-021",112,2,21,"謝小妹因大量嘔吐入急診求診，診斷為急性腸胃炎，目前有體液容積缺失的情形，此情形與下列何種徵象無關？",{"A":15,"B":16,"C":17,"D":18},"脈搏速率加快","尿量減少","體溫上升","血壓上升","D",null,[],"本題考點是體液容積缺失的臨床徵象辨識,與之無關者為 D。依體液電解質生理,體液容積缺失(脫水)時血管內容積下降,身體代償會使血壓「下降」而非上升,故 D 血壓上升與此情境無關。A 正確相關:心臟以加快脈搏代償以維持心輸出量;B 正確相關:腎臟保水使尿量減少;C 正確相關:嚴重脫水可因散熱不足或伴隨感染而體溫上升。關鍵在於容積不足時血壓應降低。","生理延伸:體液容積缺失時,靜脈回流減少→前負荷下降→心輸出量下降→血壓偏低;交感神經代償引發心跳加速、周邊血管收縮。腎臟經 RAAS 與抗利尿激素保鈉保水,使尿量減少、尿比重上升。評估脫水的其他指標:皮膚張力差、黏膜乾燥、體重下降、姿位性低血壓。口訣:「量少了→血壓降、心跳快、尿變少」。可連結:等張性脫水與休克代償機轉。",[25,28,30,33,35],{"term":26,"count":27},"體液容積缺失",3,{"term":29,"count":11},"血壓下降",{"term":31,"count":32},"脫水代償",1,{"term":34,"count":32},"脈搏加速",{"term":16,"count":32},[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-112-2-fundamental-nursing-022","12.5% glucose water 為何種溶液？",22,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-112-3-fundamental-nursing-038","護理主管為能讓機構看到護理專業價值，提升護理專業形象，下列敘述何者正確？",38,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-113-2-fundamental-nursing-032","有關死亡之後遺體的屍斑、屍冷和屍僵的變化，下列敘述何者正確？",32,113,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-114-3-fundamental-nursing-030","病人預備做大腸鏡檢查，檢查前一天其飲食醫囑為「清流質飲食」，下列何種食物最適合提供此病人食用？",30,114,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-106-2-fundamental-nursing-004","當病房確定發生火災且濃煙密布時，第一時間所採取的處置，下列何者正確？",4,106,{"webId":61,"stem":62,"number":44,"year":63,"session":11},"nurse-107-2-fundamental-nursing-038","江小姐，參與路跑活動後，出現大量流汗、皮膚蒼白濕冷、血壓降低、脈搏快而弱、頭痛及噁心的現象，下列敘述何者正確？①江小姐出現熱衰竭的情形 ②江小姐出現中暑的情形 ③稍微將下肢抬高 ④頭部稍為墊高",107,"2026-09-04",1788510746776]