[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-113-1-內外科護理學-040","nurse-113-1-medical-surgical-040",113,1,40,"韓小姐的動脈血液氣體分析結果為pH 7.44、PaCO 30 mmHg、HCO - 20 mmHg、PaO 82 mmHg，根據以上數 2           3             2 值，判讀結果下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"部分代償性呼吸性酸中毒","未代償性代謝性酸中毒","未代償性代謝性鹼中毒","完全代償性呼吸性鹼中毒","D",null,[],"本題考點在於動脈血液氣體分析(ABG)的判讀。數值為pH 7.44、PaCO₂ 30 mmHg、HCO₃⁻ 20 mmHg(mEq\u002FL)。pH 7.44落在正常範圍(7.35~7.45)但偏鹼側;PaCO₂ 30低於正常(35~45)代表呼吸性鹼中毒;HCO₃⁻ 20低於正常(22~26)方向與代謝性酸中毒一致,可視為對PaCO₂偏低的代償。由於pH已回到正常範圍,表示已完全代償,主要原發障礙為呼吸性鹼中毒,故判讀為完全代償性呼吸性鹼中毒,選D。","ABG判讀步驟:①看pH偏酸或偏鹼(7.44偏鹼側)→②看PaCO₂與HCO₃⁻誰與pH方向一致找原發:PaCO₂↓使pH↑符合呼吸性鹼中毒為主因→③代償:pH已回正常區間為完全代償,若pH仍異常則為部分代償。此例HCO₃⁻代償性下降、pH歸正常,故為完全代償性呼吸性鹼中毒。",[24,27,30,33],{"term":25,"count":26},"動脈血液氣體分析",10,{"term":28,"count":29},"呼吸性鹼中毒",3,{"term":31,"count":32},"完全代償",2,{"term":34,"count":10},"pH\u002FPaCO2\u002FHCO3− 判讀",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-1-medical-surgical-041","有關良性前列腺肥大（BPH）之敘述，下列何者錯誤？",41,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-113-3-medical-surgical-037","下列何者最適合用於肺結核病人之診斷檢查？",37,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-114-2-medical-surgical-031","有關類風溼性關節炎復健治療之敘述，下列何者正確？",31,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-029","有關吸菸對動脈硬化阻塞疾病病人之影響，下列何者錯誤？",29,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-073","有關巴拉刈中毒之敘述，下列何者錯誤？",73,107,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-108-2-medical-surgical-027","針對左心室射出率（EVEF）為 12%，有端坐呼吸且雙側下肢水腫厲害的心臟衰竭病人之護理，下列何者較不適當？",27,108,"2026-09-04",1788510750543]