[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-1-內外科護理學-047","nurse-114-1-medical-surgical-047",114,1,47,"有關2020年美國心臟醫學會（American Heart Association, AHA）公告準則，啟動院內心臟停止（IHCA）生命之鏈（chain of survival）的次序，下列何者正確？①提供高品質心肺復甦        ②去顫   ③早期監測與預防    ④心臟驟停後照護    ⑤復原   ⑥啟動緊急應變系統",{"A":14,"B":15,"C":16,"D":17},"①→②→③→⑥→⑤→④","③→⑥→①→②→④→⑤","⑥→①→③→②→④→⑤","⑥→②→③→①→⑤→④","B",null,[],"本題考點在於 2020 AHA 院內心臟停止（IHCA）生存之鏈的排序。IHCA 發生於已受監測的住院環境，故首重「早期監測與預防」及早辨識惡化；一旦停止先「啟動緊急應變系統」召集團隊，再「提供高品質心肺復甦」與「去顫」，恢復循環後進入「心臟驟停後照護」，最後為「復原」。故順序為③→⑥→①→②→④→⑤，選 B。其餘選項起始或中段次序錯置，如以高品質 CPR 或去顫為首，未能反映院內可預防、可早期偵測的特性，故錯誤。","IHCA 與 OHCA（院外）生存之鏈差異在起點：IHCA 強調監測與預防（住院者有連續監測），OHCA 則以啟動緊急應變／求救為首。兩者皆新增第六環「復原（recovery）」，涵蓋出院後身心復健與追蹤。記憶：院內先「看得到、防得住」，院外先「喊救命」。",[24,27,29,31],{"term":25,"count":26},"院內心臟停止 IHCA",2,{"term":28,"count":26},"生存之鏈",{"term":30,"count":10},"AHA 2020 準則",{"term":32,"count":10},"高品質心肺復甦",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-medical-surgical-048","72歲男性，有心臟病病史，夏天逛露天賣場時不明原因昏倒，臉色潮紅，皮膚乾熱，呼吸24次／分，脈搏強而快，體溫41.5℃，下列何者為其最可能診斷？",48,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-medical-surgical-044","下列何種激素與調整血糖濃度無關？",44,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-medical-surgical-038","有關良性前列腺肥大的敘述，下列何者正確？",38,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-medical-surgical-026","有關低血壓的治療，下列敘述何者錯誤？",26,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-medical-surgical-070","下列何者最可能造成病人出現昏迷、呼吸快而深、血清有效滲透壓 300 mOsm\u002Fkg、血糖值 400 mg\u002FdL 的臨床表徵？",70,108,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-109-2-medical-surgical-024","有關美尼爾氏症之敘述，下列何者正確？①可能原因是外耳淋巴液過多 ②症狀為雙側傳導性聽力減退 ③使用血管擴張劑減輕耳鳴症狀 ④藥物治療無效時，可採迷路切除術",24,109,"2026-09-04",1788510757607]