[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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":11},"nurse-112-2-基本護理學與護理行政-039","nurse-112-2-fundamental-nursing-039",112,2,39,"腦部損傷病患，較可能會出現下列何種特殊呼吸型態？①畢歐氏呼吸 ②潮式呼吸 ③庫斯毛耳氏呼吸 ④喟嘆式呼吸",{"A":15,"B":16,"C":17,"D":18},"①②","②③","③④","①③","A",null,[],"本題考點是中樞神經(腦部)損傷相關的異常呼吸型態。考點在於辨識源自腦幹或顱內病變的呼吸型態,畢歐氏呼吸(Biot's,不規則深淺與呼吸暫停交替,見於腦膜炎、延腦受損)與潮式呼吸(Cheyne-Stokes,漸強漸弱後暫停的週期性型態,見於腦損傷、心衰),兩者皆與腦部損傷相關,故選 A(①②)。③庫斯毛耳氏呼吸(Kussmaul,深而快)是代謝性酸中毒(如糖尿病酮酸中毒)的代償反應,屬代謝性而非腦部。④喟嘆式呼吸(sighing)多與情緒、焦慮或嘆氣有關,非腦損傷特徵。故含③或④的選項皆不符。","異常呼吸型態與病灶對應:Cheyne-Stokes(潮式)呈潮起潮落的漸強漸弱加暫停,見於大腦雙側或間腦病變、鬱血性心衰、瀕死;Biot's(畢歐氏)為深度相近但突然暫停、毫無規律,見於延腦受損、腦膜炎、顱內壓升高;Kussmaul 為深大而快,是代謝性酸中毒排出 CO₂ 的代償;中樞神經性過度換氣則見於中腦橋腦病變。記憶要訣:「潮式看週期漸變、畢歐看無規律暫停」皆屬腦源;「庫斯毛耳深大屬酸中毒」;喟嘆式偶發嘆氣屬功能性。掌握病灶定位即可篩除代謝性與情緒性選項。",[25,27,29,32],{"term":26,"count":11},"異常呼吸型態",{"term":28,"count":11},"畢歐氏呼吸",{"term":30,"count":31},"潮式呼吸",1,{"term":33,"count":31},"庫斯毛耳氏呼吸與代謝性酸中毒",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-fundamental-nursing-040","急診室接到重大車禍傷患，到院時意識不清，血壓只有 70\u002F35 mmHg，懷疑內出血，下列敘述何者正確？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-fundamental-nursing-006","護理師發現病人的主訴與病歷紀載的家庭樹資料不相符，向主要照顧者進行再次確認，此為護理過程的那個步驟？",6,113,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-113-2-fundamental-nursing-050","有關醫院護理主管預防護理業務糾紛的發生，下列敘述何者最適宜？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-114-3-fundamental-nursing-048","有關績效考核，下列敘述何者最適當？",48,114,3,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-fundamental-nursing-022","護理師為病人的右手熱敷，其左手血管亦產生擴張現象，此現象稱為：",22,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-fundamental-nursing-056","有關痰液常規檢查之敘述，下列何者錯誤？",56,107,"2026-09-04",1788510746914]