[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-112-3-內外科護理學-049","nurse-112-3-medical-surgical-049",112,3,49,"病人體重 77 公斤，摔車導致右側大腿變形骨折，血流不止，119 緊急救護員給予緊急處理後送到急診，病人體溫 35.8℃、心跳 136 次／分、呼吸 34 次／分、血壓 80\u002F58 mmHg，皮膚冷潮濕，微血管充填時間大於 2 秒，呈現焦慮情緒。依據上述資料，病人呈現的休克種類，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"低血容積性休克","血管性休克","神經性休克","心因性休克","A",null,[],"本題考點在於休克類型的辨識。病人因大腿骨折血流不止導致大量失血,出現心跳136次\u002F分、呼吸34次\u002F分、血壓80\u002F58 mmHg偏低、皮膚冷潮濕、微血管充填時間大於2秒與焦慮,符合因血液或體液流失造成循環血量不足的低血容積性休克,故選A。B血管性(分佈性)休克多因血管擴張,皮膚常溫熱。C神經性休克常見心跳過緩與血管擴張。D心因性休克源於心臟幫浦衰竭,無大量出血病史,均不符。","低血容積性休克的代償反應:交感神經興奮使心跳加快、血管收縮(皮膚冷、蒼白、濕黏)、微血管充填延長。與分佈性(敗血、過敏、神經性)休克鑑別關鍵在皮膚溫度與心跳:低血容與心因性多為冷、快;神經性則慢而暖。處置以止血與液體復甦為核心。",[24,26,28,31],{"term":14,"count":25},4,{"term":27,"count":10},"微血管充填時間",{"term":29,"count":30},"失血代償反應",1,{"term":32,"count":30},"休克鑑別",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-050","根據 2020 年美國心臟醫學會（AHA）公告的「生存之鏈（chain of survival）」急救步驟，發生於醫院內心臟停止的照護（in hospital cardiac arrest, IHCA），其急救重點次序，下列何者正確？①即早辨識和預防 ②緊急應變系統啟動 ③施行高品質 CPR ④去顫 ⑤心臟停止後照護 ⑥復原",50,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-046","下列何者是副甲狀腺功能亢進的臨床表徵？",46,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-114-1-medical-surgical-040","有關腎臟功能檢測血清肌酸酐（creatinine）之敘述，下列何者錯誤？",40,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-medical-surgical-038","有關良性前列腺肥大的敘述，下列何者正確？",38,115,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-107-1-medical-surgical-032","針對長期口服 Warfarin（Coumadin）病人，應定期監測下列何項檢驗值？",32,107,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-108-1-medical-surgical-066","有關接受腎移植而服用免疫抑制劑 cyclosporine 之敘述，下列何者錯誤？",66,108,"2026-09-04",1788510745211]