[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-025","nurse-113-3-fundamental-nursing-025",113,3,25,"學童在學校上體育課時突然昏倒，送至急診室時血糖 250 mg\u002FdL，經診斷為第一型糖尿病併有糖尿病酮酸中毒（Diabetic Ketoacidosis, DKA），此刻最可能出現何種呼吸型態？",{"A":15,"B":16,"C":17,"D":18},"庫斯毛耳呼吸（Kussmaul’s respiration）","潮式呼吸（tidal respiration）","畢歐式呼吸（Biot’s respiration）","喟嘆式呼吸（sighing respiration）","A",null,[],"本題考點在於糖尿病酮酸中毒（DKA）的代償性呼吸型態。依酸鹼平衡機轉，DKA 時大量酮酸堆積造成代謝性酸中毒，身體透過呼吸系統代償，出現又深又快的庫斯毛耳呼吸（Kussmaul's respiration）以排除 CO₂、提高血中 pH，故選 A。B 潮式呼吸（Cheyne-Stokes，此處誤稱 tidal）為呼吸漸強漸弱交替暫停，見於重度心衰、腦損傷。C 畢歐式呼吸為不規則深呼吸伴不定時暫停，見於腦膜炎、延腦損傷。D 喟嘆式呼吸為正常呼吸中夾雜深歎氣，常與焦慮有關。四者中僅庫斯毛耳呼吸對應代謝性酸中毒代償。","呼吸代償原理：代謝性酸中毒時化學受器感測 pH 下降，刺激延腦增加分鐘通氣量，靠深快呼吸吹掉 CO₂（呼出碳酸）。DKA 病人呼氣常帶爛蘋果味（丙酮）。庫斯毛耳呼吸是深「且」快，與潮式（週期漸變）、畢歐式（雜亂）型態要能區辨。記「代謝性酸中毒＝Kussmaul 大喘氣、爛蘋果味」。",[25,28,30,33],{"term":26,"count":27},"代謝性酸中毒",2,{"term":29,"count":27},"庫斯毛耳呼吸",{"term":31,"count":32},"呼吸代償",1,{"term":34,"count":32},"DKA 病生理",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-026","根據下列四位住院病人生命徵象測量的結果，何者最為緊急需優先處理？",26,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-fundamental-nursing-022","病人接受腰椎穿刺後，宜採用那一種姿勢最適當？",22,114,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-115-1-fundamental-nursing-016","王太太使用坐浴後，主訴頭暈、心跳加快、無力、臉色蒼白，此時最適切的護理措施為何？",16,115,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-106-2-fundamental-nursing-034","毛先生鼻咽癌接受同步化學治療與放射線治療，口腔內頰有一個 2 × 2 公分的潰瘍，可使用的口腔護理溶液，下列何者不適當？",34,106,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-107-2-fundamental-nursing-078","依據國際醫療資訊協會規定，護理師執行護理資訊系統時，下列敘述何者正確？①善盡保管帳號及密碼的責任 ②考量病人資料安全及隱私 ③下載病人受傷圖片作為教學內容 ④離開護理工作車時，隨時關閉電腦畫面 ⑤列印病人檢驗值供病人或家屬參考",78,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-109-1-fundamental-nursing-032","吳爺爺因中風長期臥床，有長期便秘情形，目前 Senokot（Senna）2＃po HS 使用，近日肛門口會不自主滲出少量糞水、有便意感、腹痛，下列措施何者最適當？",32,109,"2026-09-04",1788510752126]