[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-034":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":27},"nurse-113-1-基本護理學與護理行政-034","nurse-113-1-fundamental-nursing-034",113,1,34,"有關衛生福利部2012年公告的「腦死判定準則」，下列先決條件的敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"病人昏迷指數為5或小於5之深度昏迷","體溫低於攝氏35度所致之可逆性昏迷","具有無法復原的肺葉結構損傷","必須依賴氣切管路維持呼吸","A",null,[],"本題考點在於衛福部「腦死判定準則」的先決條件。A 正確：進行腦死判定的先決條件之一為病人須處於昏迷指數（GCS）為 5 或小於 5 的深度昏迷，並依賴人工呼吸器維持，故選 A。B 錯在體溫過低（低於 35℃）所致者屬「可逆性」昏迷，反而是必須先排除的干擾因素，不能在此狀態下判定腦死；C 錯在先決條件為須確認昏迷原因、已知有無法復原的腦部結構損傷，而非肺葉結構損傷；D 錯在應為依賴人工呼吸器維持呼吸，而非「氣切管路」此一狹義描述。核心是深度昏迷與排除可逆因素。","腦死判定先決條件重點：已知病因且為無法復原的腦部結構損傷、深度昏迷（GCS≤5）並倚賴呼吸器、須先排除低體溫、藥物中毒、電解質與內分泌代謝異常等可逆原因，再進行腦幹反射與無自主呼吸測試，並由具資格醫師於間隔時間重複判定。低溫與藥物是最常見的排除項，B 選項正是把「須排除的可逆因素」誤植為先決條件的陷阱。",[25,28,30,32],{"term":26,"count":27},"腦死判定準則",3,{"term":29,"count":11},"深度昏迷 GCS≤5",{"term":31,"count":11},"排除可逆性昏迷",{"term":33,"count":11},"腦部結構損傷",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-1-fundamental-nursing-035","下列何者為臨終病人的瀕死症狀？①脈搏出現奇異脈（paradoxical pulse） ②張口呼吸 ③肛門括約肌收縮 ④吞嚥困難",35,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-113-3-fundamental-nursing-031","有關病人飲食衛教內容，下列敘述何者最適當？",31,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-114-2-fundamental-nursing-025","38 歲女病人至不孕症門診求診，醫師建議每日測量基礎體溫。當體溫出現何種變化，代表生理週期中的黃體素濃度增加？",25,114,2,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-106-1-fundamental-nursing-023","外出旅遊泡溫泉時，易出現頭暈等不舒服症狀之原因為何？①排汗增加，血壓上升 ②體溫增加，散熱增加 ③血管擴張 ④肌肉鬆弛 ⑤頭部血流減少",23,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-1-fundamental-nursing-067","有關個案管理的陳述，下列何者最正確？",67,107,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-108-2-fundamental-nursing-021","關於臨床護理紀錄的原則，下列敘述何者錯誤？",21,108,"2026-09-04",1788510750084]