[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-fundamental-nursing-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-114-2-基本護理學與護理行政-026","nurse-114-2-fundamental-nursing-026",114,2,26,"下列何者不是易發生高壓脈（pulse of high tension）的族群？",{"A":15,"B":16,"C":17,"D":18},"老年人","動脈硬化病人","高血壓病人","出血性休克病人","D",null,[],"本題考點是高壓脈(pulse of high tension,即硬脈)的成因與好發族群,問『不是』者。高壓脈指脈搏須用較大力量才能壓扁,反映動脈內壓力高或血管壁僵硬、周邊阻力增加。逐項核對:A老年人——動脈彈性下降、管壁硬化,易呈高壓脈。B動脈硬化病人——血管壁增厚僵硬,易呈高壓脈。C高血壓病人——動脈內壓力升高,脈搏張力大,易呈高壓脈。D出血性休克病人——大量失血致循環血量不足、血壓下降,脈搏變得細弱且易被壓扁,屬『低壓脈(弱脈、絲脈)』而非高壓脈。故不易發生高壓脈者為D,選D。","脈搏『張力(tension)』反映的是壓迫脈搏所需的力量,取決於收縮壓與動脈壁狀態:高壓脈見於高血壓、動脈硬化、老化(周邊阻力↑、管壁僵硬);低壓脈\u002F弱脈見於低血容(出血、脫水)、休克、心輸出量下降。機轉要抓對方向:出血性休克是『血量↓→靜脈回流↓→心輸出量↓→血壓↓』,末梢灌流不足使脈搏又快又弱(代償性心搏過速+細弱脈,thready pulse),與高壓脈方向恰好相反,這正是本題的辨析核心。別把『休克時心跳快』誤當成脈搏張力強——快與有力是兩回事,休克是快而弱。",[25,28,30,32],{"term":26,"count":27},"高壓脈\u002F硬脈",1,{"term":29,"count":27},"動脈硬化與高血壓",{"term":31,"count":27},"出血性休克低血容",{"term":33,"count":27},"弱脈絲脈thready pulse",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-114-2-fundamental-nursing-027","有關六大營養素的敘述，下列何者正確？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-115-1-fundamental-nursing-023","有關協助病人採坐臥姿之敘述，下列何者錯誤？",23,115,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-106-1-fundamental-nursing-017","張女士因慢性腎病住院，早上 9 點口服藥物：Brown Mixture 15 mL qid、Acetaminophen 1# qid、MgO 1# qid、Ferrous 10 gtt qid。護理師教導張女士正確服藥順序，下列何者應最後服用？",17,106,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-107-1-fundamental-nursing-055","趙先生 72 歲，診斷 COPD，此次因呼吸困難入院，監測血氧飽和度 88%，護理師為病人進行初次評估時，下列何者最適當？",55,107,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-108-2-fundamental-nursing-019","病人接受化學治療時，護理師評估注射部位是否有紅腫以助確認是否有化學藥物滲漏，此照護措施符合下列何者護理倫理原則？",19,108,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-109-2-fundamental-nursing-053","收集男性病人的尿液標本進行尿液培養之敘述，下列何者正確？①將病人晨起第一次解尿的中段尿，置於乾淨尿杯 ②長期導尿者，打開尿袋底端開口，倒出尿液於標本試管內 ③收集好之尿液標本，需在 30 分鐘內送檢 ④懷疑有尿道感染者，宜先收集尿液檢體後再注射抗生素",53,109,"2026-09-04",1788510759201]