[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-019":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":10},"nurse-114-2-內外科護理學-019","nurse-114-2-medical-surgical-019",114,2,19,"有關心律去顫整流術（defibrillation）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"初次治療電量介於 50～200 焦耳","電擊板放置處為胸骨右緣第 2 肋間與左腋前線第 5 肋間","常用於心房纖維顫動","電擊時切勿碰觸病人與其病床","C",null,[],"本題考點在於心律去顫整流術(defibrillation)的適應症與操作。本題為反向題,錯誤敘述為 C:defibrillation 是非同步電擊,適用於心室顫動(VF)與無脈搏性心室頻脈,而心房纖維顫動應採「同步整流術(synchronized cardioversion)」,故 C 敘述錯誤為答案。A 正確,初次電量常介於 50~200 焦耳(依機型與波形而定)。B 正確,電擊板放置於胸骨右緣第 2 肋間與左腋前線第 5 肋間(心尖處)。D 正確,電擊時任何人切勿碰觸病人與病床以免觸電。","關鍵區辨:「去顫=非同步,救 VF\u002F無脈 VT」;「整流=同步,治有脈的 AF\u002FSVT\u002FVT」。同步整流會避開 T 波(易感期)放電,防止誘發 VF;去顫因 VF 無 QRS 可同步,故直接放電。電極板一右上(胸骨右緣)一左下(心尖),讓電流通過心臟主軸。安全口訣:放電前喊「我離開、你離開、大家離開」。",[24,26,29,31],{"term":25,"count":10},"心室顫動",{"term":27,"count":28},"去顫術 defibrillation",1,{"term":30,"count":28},"同步整流術 cardioversion",{"term":32,"count":28},"電擊板位置",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-020","下列何者不是心衰竭時心臟代償徵象？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-016","有關心包膜炎照護之敘述，下列何者不適宜？",16,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-medical-surgical-010","有關消化性潰瘍常見用藥，下列何者錯誤？",10,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-medical-surgical-048","有關急性溶血性輸血反應之症狀，下列何者最不可能出現？",48,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-012","下列何者是造成腹膜炎常見的致病菌？",12,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-046","針對右髖關節嚴重燒傷病人，為維持其關節最大功能之姿位，下列何者正確？",46,109,"2026-09-04",1788510759629]