[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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-113-1-基本護理學與護理行政-018","nurse-113-1-fundamental-nursing-018",113,1,18,"在輸血過程中，病人出現皮膚癢、紅疹、鼻塞及呼吸困難等症狀，可能是發生下列何種輸血反應？",{"A":15,"B":16,"C":17,"D":18},"熱原反應","過敏反應","溶血反應","肺栓塞反應","B",null,[],"本題考點在於輸血反應的類型辨識。病人出現皮膚癢、紅疹、鼻塞及呼吸困難等症狀，屬對血漿蛋白等過敏原產生的第一型過敏（allergic）反應，以蕁麻疹、搔癢、支氣管痙攣為特徵，故選 B。A 熱原反應（發熱反應）以發燒、寒顫為主；C 溶血反應因血型不合，表現為腰背痛、血紅素尿、寒顫發燒甚至休克，是最危急者；D 肺栓塞非典型輸血反應分類。題幹以皮膚與過敏症狀為主而無溶血或發燒特徵，指向過敏反應。","輸血反應速記：過敏＝癢／疹／喘（IgE 對血漿蛋白）、發熱＝抗白血球抗體致燒寒顫、溶血＝ABO 不合致腰痛血紅素尿為最致命、循環過負荷＝輸太快致肺水腫。過敏反應輕者給抗組織胺、續輸觀察；出現任何反應皆先暫停輸血並保留血袋。以主症狀群鎖定類型是此題核心。",[25,28,30],{"term":26,"count":27},"輸血反應鑑別",2,{"term":29,"count":11},"輸血過敏反應",{"term":31,"count":11},"第一型過敏",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-1-fundamental-nursing-019","脊髓損傷的病人，無法自行排空膀胱，下列護理措施何者最適當？",19,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-113-3-fundamental-nursing-015","周小妹連續給予大量靜脈注射導致有循環負荷過量（Circulatory Overload）問題，最可能出現下列何種症狀？①水腫 ②皮膚起紅疹 ③血壓下降 ④呼吸困難 ⑤頸靜脈怒張",15,3,{"webId":43,"stem":44,"number":45,"year":46,"session":27},"nurse-114-2-fundamental-nursing-009","癌症病人有以下三個問題：①疼痛 ②無效性呼吸型態 ③便秘，病人堅持不用止痛藥物。有關護理問題處置的優先順序，下列何者正確？",9,114,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-106-1-fundamental-nursing-007","下列何種情況符合醫療照護相關感染（healthcare-associated infection, HAI）之定義？",7,106,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-107-1-fundamental-nursing-051","有關屍僵發生前屍體擺置的處置，下列敘述何者錯誤？",51,107,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-108-2-fundamental-nursing-005","有關膀胱灌洗的敘述，下列何者正確？",5,108,"2026-09-04",1788510749948]