[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":25},"nurse-113-1-內外科護理學-032","nurse-113-1-medical-surgical-032",113,1,32,"下列何者是持續換氣不足病人之動脈血液氣體分析最可能出現的結果？",{"A":14,"B":15,"C":16,"D":17},"呼吸性酸中毒","呼吸性鹼中毒","代謝性酸中毒","代謝性鹼中毒","A",null,[],"本題考點在於換氣不足(hypoventilation)導致的酸鹼失衡判讀。依酸鹼生理,持續換氣不足時CO₂排出減少、PaCO₂上升,碳酸(H₂CO₃)增加使血液pH下降,屬呼吸性酸中毒,選A。B錯誤,呼吸性鹼中毒是過度換氣使CO₂過低;C錯誤,代謝性酸中毒主因是HCO₃⁻減少或酸性物質堆積(如腎衰竭、酮酸中毒),與換氣無直接關係;D錯誤,代謝性鹼中毒是HCO₃⁻過多(如嘔吐、利尿劑)。","口訣:呼吸性失衡看PaCO₂(CO₂是酸),換氣不足→CO₂滯留→酸中毒;過度換氣→CO₂排太多→鹼中毒。代謝性失衡看HCO₃⁻。常見換氣不足原因:COPD、呼吸抑制(鴉片類)、神經肌肉疾病。此類病人易伴隨低血氧,須留意二氧化碳滯留與意識變化。",[24,26,29,31],{"term":14,"count":25},8,{"term":27,"count":28},"換氣不足",2,{"term":30,"count":28},"酸鹼平衡",{"term":32,"count":10},"PaCO2 上升",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-033","周先生為氣喘病人，使用藥物後，出現「心悸、心律不整」的反應，最可能導致此反應的藥物為下列何者？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-029","有關免疫球蛋白特性之敘述，下列何者正確？",29,3,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-114-2-medical-surgical-023","王小華熱愛打籃球，最近剛被確診為血友病，下列護理指導何者不適當？",23,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-021","老年人骨質疏鬆症發生骨折之部位，下列何者最不常見？",21,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-065","有關早期慢性腎臟病病人服用血管收縮素轉化酶抑制劑（Angiotensin Converting Enzyme Inhibitors, ACEI）之敘述，下列何者錯誤？",65,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-2-medical-surgical-019","有關白內障治療方式之敘述，下列何者錯誤？",19,108,"2026-09-04",1788510750489]