[{"data":1,"prerenderedAt":69},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":68},"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-113-3-內外科護理學-033","nurse-113-3-medical-surgical-033",113,3,33,"有關病人的動脈血液氣體分析結果，下列何者應立即報告醫師？",{"A":14,"B":15,"C":16,"D":17},"pH 7.34，PaO 2 82 mmHg，PaCO 2 40 mmHg，SaO 2 97%","pH 7.35，PaO 2 85 mmHg，PaCO 2 45 mmHg，SaO 2 95%","pH 7.46，PaO 2 90 mmHg，PaCO 2 32 mmHg，SaO 2 98%","pH 7.31，PaO 2 91 mmHg，PaCO 2 50 mmHg，SaO 2 96%","D",null,[],"本題考點在於動脈血液氣體分析(ABG)異常值的判讀與危急辨識。正常值 pH 7.35～7.45、PaCO₂ 35～45 mmHg、PaO₂ 80～100 mmHg。選項 D 的 pH 7.31 偏低併 PaCO₂ 50 mmHg 升高，屬未代償的呼吸性酸中毒，反映通氣不足與二氧化碳滯留，最需儘速報告醫師，故選 D。A、B 各值大致落於正常或臨界範圍；C 為輕度呼吸性鹼中毒且氧合良好，危急程度均低於 D。","判讀 ABG 先看 pH 偏酸或偏鹼，再看 PaCO₂(呼吸)與 HCO₃⁻(代謝)何者同向解釋 pH。D 的 pH 低、CO₂ 高且無代償，代表急性呼吸性酸中毒、通氣衰竭風險高，屬需立即介入的異常。相對地 C 的低 CO₂ 配偏鹼 pH 屬過度換氣，臨床危急度較低。",[24,27,30,33,36],{"term":25,"count":26},"動脈血液氣體分析",10,{"term":28,"count":29},"呼吸性酸中毒",8,{"term":31,"count":32},"pH 判讀",2,{"term":34,"count":35},"PaCO2 正常值",1,{"term":37,"count":35},"通氣不足",[39,43,48,53,58,63],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,{"webId":44,"stem":45,"number":46,"year":47,"session":32},"nurse-114-2-medical-surgical-030","有關全身性紅斑性狼瘡之護理處置，下列何者不適當？",30,114,{"webId":49,"stem":50,"number":51,"year":52,"session":35},"nurse-115-1-medical-surgical-024","王老太太意識恢復後，針對其目前的問題，下列護理措施何者正確？",24,115,{"webId":54,"stem":55,"number":56,"year":57,"session":32},"nurse-106-2-medical-surgical-042","有關一氧化碳中毒的臨床表徵，下列何者正確？",42,106,{"webId":59,"stem":60,"number":61,"year":62,"session":35},"nurse-108-1-medical-surgical-006","病人突然左側肢體無力，由家屬送入急診，目前肌肉力量右側肢體 5 分、左手 3 分、左腳 1 分，請問最有可能是那一條腦血管的阻塞？",6,108,{"webId":64,"stem":65,"number":66,"year":67,"session":35},"nurse-109-1-medical-surgical-040","下列何種皮膚疾病是由自體免疫系統所引起，會出現急性炎症反應但不具傳染性？",40,109,"2026-09-04",1788510752761]