[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-112-3-內外科護理學-050","nurse-112-3-medical-surgical-050",112,3,50,"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",{"A":14,"B":15,"C":16,"D":17},"①→②→③→④→⑤→⑥","①→③→⑤→②→④→⑥","①→②→④→③→⑤→⑥","①→④→③→②→⑤→⑥","A",null,[],"本題考點在於2020年美國心臟醫學會(AHA)院內心臟停止(IHCA)生存之鏈的順序。依公告,院內急救重點次序為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,故選A。院內強調早期辨識惡化與預防為首,再啟動系統與急救。其餘選項將去顫、CPR、系統啟動的先後顛倒,不符生存之鏈邏輯。","AHA將生存之鏈分院內(IHCA)與院外(OHCA)兩條:院內第一環是「監測與預防」,因住院病人惡化多有前兆(可透過快速反應小組攔截);院外第一環則是「辨識與啟動緊急救護系統」。兩者後續皆為高品質CPR、快速去顫、復甦後照護,2020版新增第六環「復原」。",[24,27,30,32],{"term":25,"count":26},"生存之鏈",2,{"term":28,"count":29},"AHA 2020",1,{"term":31,"count":29},"院內心臟停止(IHCA)",{"term":33,"count":29},"急救順序",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":29,"year":38,"session":29},"nurse-113-1-medical-surgical-001","有關多發性硬化症之診斷檢查，下列何者錯誤？",113,{"webId":40,"stem":41,"number":42,"year":38,"session":26},"nurse-113-2-medical-surgical-047","當一人施行心肺復甦術（CPR）時，下列何者應先施行 2 分鐘的急救後再求救？",47,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-114-1-medical-surgical-041","有關預防泌尿道感染復發的護理指導，下列何者錯誤？",41,114,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-2-medical-surgical-039","有關血液透析病人動靜脈瘻管的敘述，下列何者最適當？",39,115,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-107-1-medical-surgical-033","手術後輸血導致出現溶血性黃疸所造成之檢驗值變化，下列何者正確？",33,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-108-1-medical-surgical-067","有關甲狀腺機能低下病人的臨床表徵，下列何者正確？",67,108,"2026-09-04",1788510745224]