[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-113-3-基本護理學與護理行政-015","nurse-113-3-fundamental-nursing-015",113,3,15,"周小妹連續給予大量靜脈注射導致有循環負荷過量（Circulatory Overload）問題，最可能出現下列何種症狀？①水腫 ②皮膚起紅疹 ③血壓下降 ④呼吸困難 ⑤頸靜脈怒張",{"A":15,"B":16,"C":17,"D":18},"①②③","②③④","③④⑤","①④⑤","D",null,[],"本題考點在於靜脈輸液併發症中「循環負荷過量」的臨床表現辨識。短時間輸入過量液體使血管內容積驟增、右心與肺循環負荷上升，會出現水腫（①）、呼吸困難（④，肺水腫所致）與頸靜脈怒張（⑤，靜脈回流受阻與中心靜脈壓上升），三者組合為選項 D（①④⑤）。其餘敘述不符：皮膚起紅疹（②）屬過敏或輸血反應的表現，非循環負荷過量的典型症狀；血壓下降（③）方向相反，循環過量因血容積增加通常使血壓「上升」而非下降，血壓下降反見於低血容或休克。核心在於掌握「容積過多→充血性表徵（水腫、肺充血喘、頸靜脈怒張）與血壓上升」的整體圖像。","循環負荷過量（TACO 概念）處置方向：減慢或暫停輸液、採半坐臥減少靜脈回流、監測生命徵象與呼吸型態，必要時依醫囑給利尿劑與氧氣。與過敏反應（紅疹、癢、支氣管痙攣）鑑別的要點在「充血性徵象＋血壓上升」，這組表現與低血容休克的血壓下降恰成對比。",[25,28,31,34],{"term":26,"count":27},"循環負荷過量",4,{"term":29,"count":30},"頸靜脈怒張",2,{"term":32,"count":33},"肺水腫呼吸困難",1,{"term":35,"count":33},"輸液併發症鑑別",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-113-3-fundamental-nursing-016","有關輸血注意事項，下列敘述何者錯誤？",16,{"webId":42,"stem":43,"number":44,"year":45,"session":30},"nurse-114-2-fundamental-nursing-012","有關蒸氣吸入給藥法的相關敘述，下列何者最不適當？",12,114,{"webId":47,"stem":48,"number":49,"year":50,"session":33},"nurse-115-1-fundamental-nursing-006","有關紀錄書寫的原則，下列敘述何者錯誤？",6,115,{"webId":52,"stem":53,"number":54,"year":55,"session":30},"nurse-106-2-fundamental-nursing-024","有關血栓靜脈炎的敘述，下列何者錯誤？",24,106,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-107-2-fundamental-nursing-068","人力資源管理和人事管理概念之差異，下列何者錯誤？",68,107,{"webId":62,"stem":63,"number":64,"year":65,"session":33},"nurse-109-1-fundamental-nursing-022","護理師給予瀉劑 Bisacodyl 塞劑前，個案主訴腹絞痛，並冒冷汗不適，下列處置何者適當？",22,109,"2026-09-04",1788510752052]