[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-112-2-內外科護理學-075","nurse-112-2-medical-surgical-075",112,2,75,"下列何者為永久性心臟節律器之適應症？",{"A":14,"B":15,"C":16,"D":17},"完全房室傳導阻斷","心房早期收縮","心室早期收縮","心房撲動","A",null,[],"本題考點在永久性心臟節律器的適應症。依心臟傳導生理，完全房室傳導阻斷(第三度 AV block)時心房與心室各自跳動、心室由緩慢的逸搏節律驅動，易致心輸出量不足與暈厥，需植入永久性節律器維持心跳,選 A。B 心房早期收縮多為良性，通常無需節律器。C 心室早期收縮多以藥物或觀察處理，除非引發惡性心律不整。D 心房撲動主要以控制心室率、抗凝與電燒或整流處理，並非永久節律器的典型適應症。故唯 A 為明確適應症。","永久性節律器適應症以「症狀性心搏過緩」為核心:第三度房室傳導阻斷、症狀性第二度(尤其 Mobitz II)、病竇症候群、症狀性慢性心房顫動合併緩慢心室反應。完全 AV block 因心房訊號無法下傳、心室僅靠逸搏(30–40 次\u002F分)維持，最典型需節律器。對比早期收縮(PAC\u002FPVC)屬偶發異位搏動,心房撲動屬快速性心律不整,治療邏輯不同。可連結節律器代碼(如 VVI、DDD)與術後衛教(避免強磁場、記錄脈搏)複習。",[24,26,28,30,32],{"term":25,"count":10},"永久性心臟節律器",{"term":14,"count":27},1,{"term":29,"count":27},"第三度 AV block",{"term":31,"count":27},"症狀性心搏過緩",{"term":33,"count":27},"逸搏節律",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-medical-surgical-076","選擇鼻咽人工氣道適當尺寸之量測方式，下列何者正確？",76,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-113-1-medical-surgical-042","有關原發性醛固酮過多症之護理措施，下列何者錯誤？",42,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-medical-surgical-036","朱先生為慢性阻塞性肺病（COPD）病人，使用氧氣鼻套管 2L／分鐘，主訴呼吸喘，朱太太要求護理師將氧氣流量調高。下列何者為最適當的反應？",36,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-115-1-medical-surgical-034","有關早期氧合不足會出現的徵象或症狀，下列何者最可能？",34,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-medical-surgical-058","下列何者為檢測腎絲球過濾率的最佳指標？",58,106,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-108-1-medical-surgical-012","有關肝硬化病人服用 Lactulose 之敘述，下列何者正確？",12,108,"2026-09-04",1788510747940]