[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-113-3-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":67},"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-047","nurse-113-3-medical-surgical-047",113,3,47,"有關敗血性休克導致的系統性炎性反應症候群（SIRS）其診斷的四個條件中，需含二項或以上，下列條件何者正確？①體溫大於 38℃或小於 36℃ ②心跳小於 60 次／分 ③呼吸速率大於 20 次／分，或 PaCO 2 小於 40 mmHg ④白血球大於 12000\u002FuL 或小於 4000\u002FuL",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於全身性發炎反應症候群(SIRS)的診斷條件。依 SIRS 準則，符合者為①④(選 B)：①體溫大於 38℃或小於 36℃、④白血球大於 12000\u002FμL 或小於 4000\u002FμL，皆屬正確條件。②錯在心跳判準應為大於 90 次\u002F分的心搏過速，而非小於 60 次\u002F分；③錯在呼吸速率大於 20 次\u002F分或 PaCO₂ 小於 32 mmHg 才符合，題目所寫 PaCO₂ 小於 40 mmHg 的界值不正確，故排除。","SIRS 四項標準：體溫 >38℃ 或 \u003C36℃、心跳 >90 次\u002F分、呼吸 >20 次\u002F分或 PaCO₂ \u003C32 mmHg、白血球 >12000 或 \u003C4000\u002FμL(或未成熟型 >10%)，符合兩項即成立。當 SIRS 併確診或疑似感染即為敗血症;本題陷阱在②的心跳方向與③的 CO₂ 界值被竄改。",[24,27,30,32,34],{"term":25,"count":26},"敗血症",7,{"term":28,"count":29},"全身性發炎反應症候群",1,{"term":31,"count":29},"SIRS 診斷準則",{"term":33,"count":29},"體溫異常",{"term":35,"count":29},"白血球異常",[37,41,47,52,57,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-113-3-medical-surgical-048","李先生用餐時，突然發生激烈咳嗽及呼吸困難，並伴有「咻」、「咻」喘氣聲，下列何者最為可能？",48,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-114-2-medical-surgical-044","有關尿崩症病人之臨床表徵，下列何者錯誤？",44,114,2,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-115-1-medical-surgical-038","有關感染性膀胱炎導因之敘述，下列何者最不適當？",38,115,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-106-2-medical-surgical-056","接受胸腔放液穿刺術後的病人，需監測的合併症，不包括下列何者？",56,106,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-108-1-medical-surgical-020","有關骨質疏鬆症與骨密度檢查的敘述，下列何者錯誤？",20,108,{"webId":63,"stem":64,"number":65,"year":66,"session":29},"nurse-109-1-medical-surgical-054","下列何者降低時，可作為阻塞性肺疾病的特徵？",54,109,"2026-09-04",1788510752898]