[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-113-2-內外科護理學-048","nurse-113-2-medical-surgical-048",113,2,48,"有關心因性休克的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"主要是感染或血管通透性改變造成","常見於外傷造成主動脈剝離、張力性氣胸","因創傷出血過多造成心臟回血量減少","主動脈內氣球幫浦（IABP）是重要治療方式之一","D",null,[],"本題考點在於心因性休克的病因與治療辨識。心因性休克因心臟幫浦功能衰竭（如大範圍心肌梗塞）致心輸出量不足，主動脈內氣球幫浦（IABP）於舒張期充氣提升冠狀動脈灌流、收縮期洩氣降低後負荷，是重要輔助治療之一，故 D 正確。A 感染或血管通透性改變屬敗血性（分佈性）休克；B 主動脈剝離、張力性氣胸屬阻塞性休克；C 創傷出血過多致回血量減少屬低血容性休克，皆非心因性休克的機轉，故錯。","休克四型記法：低血容（失血脫水）、心因性（幫浦壞）、阻塞性（心臟被外力堵\u002F壓：肺栓塞、心包填塞、張力性氣胸、主動脈剝離）、分佈性（敗血、過敏、神經性—血管擴張）。IABP 核心=舒張期充氣增冠脈灌流、收縮期洩氣降後負荷，改善衰竭心臟供需。分清各型病因是急重症考題主線。",[24,27,30,33],{"term":25,"count":26},"心因性休克",7,{"term":28,"count":29},"休克分類",5,{"term":31,"count":32},"心輸出量",4,{"term":34,"count":35},"主動脈內氣球幫浦 IABP",1,[37,41,46,51,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-113-2-medical-surgical-049","當意識不清病人被送至急診，檢查瞳孔兩側等大且小於 2.0 mm，可能為下列何者中毒？①有機磷 ②安非他命 ③鴉片 ④古柯鹼",49,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-114-1-medical-surgical-045","有關尿崩症病人之護理處置，下列何者錯誤？",45,114,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-114-3-medical-surgical-039","有關急性腎盂腎炎之照護，下列敘述何者最適當？①紅血球沉降速率（ESR）數值會升高 ②症狀為無尿及貧血 ③鼓勵病人多攝取酸灰性食物如乾梅或蔓越莓 ④鼓勵病人每 4 小時排尿一次",39,3,{"webId":52,"stem":53,"number":26,"year":54,"session":10},"nurse-106-2-medical-surgical-007","有關叢性頭痛（cluster headaches）之敘述，下列何者錯誤？",106,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-107-2-medical-surgical-051","一位 23 歲女性主訴最近食慾不振、疲倦、發燒及體重減輕，經身體評估發現口腔潰瘍、左右膝關節有壓痛、腫脹，另抗核性抗體（ANA）呈現陽性，下列何者為其最可能之診斷？",51,107,{"webId":61,"stem":62,"number":29,"year":63,"session":35},"nurse-109-1-medical-surgical-005","指導重症肌無力病人之護理措施，下列何者錯誤？",109,"2026-09-04",1788510755286]