[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-025":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-113-2-基本護理學與護理行政-025","nurse-113-2-fundamental-nursing-025",113,2,25,"病人頭部受傷，腦壓過高，最有可能出現下列何種呼吸型態？",{"A":15,"B":16,"C":17,"D":18},"呼吸過速（tachypnea）","呼吸暫停（apnea）","呼吸過慢（bradypnea）","喟嘆式呼吸（sighing respiration）","C",null,[],"本題考點在於顱內壓升高（IICP）所引起的特徵性呼吸型態。依據神經生理,腦壓過高會壓迫腦幹的呼吸中樞,並隨顱內壓上升出現庫欣氏反應（Cushing's triad:血壓上升、脈搏變慢、呼吸型態改變），呼吸常變慢而深或呈不規則,故選 C 呼吸過慢（bradypnea）。A 呼吸過速多見於缺氧、發燒、焦慮;B 呼吸暫停為極末期腦幹衰竭表現,非典型早期反應;D 喟嘆式呼吸常見於情緒緊張,與腦壓升高機轉不符。","顱內壓升高三大徵象為庫欣氏三聯徵:收縮壓升高併脈壓變大、心搏過緩、呼吸變慢或不規則,這是身體維持腦部灌流的代償。隨腦幹受壓可進展為 Cheyne-Stokes（潮式呼吸）、中樞神經性過度換氣乃至失調性呼吸與呼吸停止。IICP 其他表現:頭痛、噴射狀嘔吐、意識改變、視乳突水腫、瞳孔變化。記憶口訣:「血壓升、脈搏慢、呼吸慢」＝庫欣氏反應＝腦壓過高警訊。",[25,28,30,32],{"term":26,"count":27},"顱內壓升高",1,{"term":29,"count":27},"庫欣氏三聯徵",{"term":31,"count":27},"呼吸過慢",{"term":33,"count":27},"腦幹呼吸中樞受壓",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-fundamental-nursing-026","護理人員至病房巡邏時收集到口腔癌病人許多訊息，下列何者為主觀症狀？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-fundamental-nursing-022","下列何種設備，能有效協助呼吸困難的病人維持舒適姿勢？",22,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-fundamental-nursing-016","當病人接受靜脈輸注而發生血栓靜脈炎時，下列處理何者最適當？",16,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-fundamental-nursing-064","下列有關官僚理論（Bureaucracy）敘述何者錯誤？",64,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-fundamental-nursing-028","解黑色糞便的可能原因為何？①服用鐵劑 ②脂肪吸收不良 ③進食較多豬肝 ④上腸胃道出血",28,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-fundamental-nursing-062","為了提升單位內護理同仁的工作滿意度，護理長將單位內的工作重新審視與設計，由同仁幫忙填答結構式的問卷，另利用晚夜班時段親自採用事先擬好的檢查表格，實地查核執行情形。護理長同時選擇幾項常做的工作，分別重新檢視工作說明書與工作規範的內容。根據情況描述內容，護理長未使用下列何種工作分析的方法？",62,108,"2026-09-04",1788510754589]