[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-020","nurse-114-2-medical-surgical-020",114,2,20,"下列何者不是心衰竭時心臟代償徵象？",{"A":14,"B":15,"C":16,"D":17},"心跳變快","心室腔擴張","心肌需氧減少","心肌肥厚","C",null,[],"本題考點在於心衰竭時心臟的代償機轉。本題為反向題,不是代償徵象者為 C 心肌需氧減少:心衰竭時心臟為維持心輸出量,會啟動心跳加快、心室腔擴張(Frank-Starling 機轉)與心肌肥厚等代償,這些反而使心肌工作量與需氧「增加」而非減少,故 C 為答案。A 心跳變快、B 心室腔擴張、D 心肌肥厚皆為真正的代償反應,故排除。","代償三部曲:交感神經興奮(心搏加速+收縮增強)、Frank-Starling(前負荷增加拉長心肌纖維增強收縮)、心室重塑(心肌肥厚)。代價是心肌耗氧上升、久之失代償。記憶:「心衰代償=快、脹、厚」,而需氧增加正是這些代償最終走向衰竭的原因,故「需氧減少」是反選項。搭配 RAAS 活化與水鈉滯留一起理解病程惡化。",[24,26,29,31],{"term":25,"count":10},"心肌耗氧",{"term":27,"count":28},"心衰竭代償機轉",1,{"term":30,"count":28},"Frank-Starling 定律",{"term":17,"count":28},[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-2-medical-surgical-021","有關瀕死期癌症病人之臨終關懷，下列敘述何者正確？",21,{"webId":38,"stem":39,"number":40,"year":41,"session":28},"nurse-115-1-medical-surgical-017","有關血栓性靜脈炎之評估與照護原則，下列敘述何者錯誤？",17,115,{"webId":43,"stem":44,"number":45,"year":46,"session":28},"nurse-106-1-medical-surgical-011","有關預防傾倒症候群之護理指導，下列何者正確？ ①採取少量多餐 ②採高脂肪、高蛋白、低醣飲食 ③用餐時可多進食液體食物 ④用餐時可採半坐臥姿勢，進食後則躺下休息",11,106,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-107-1-medical-surgical-049","有關過敏性疾病的護理指導，下列何者錯誤？",49,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-2-medical-surgical-013","病人主訴「左上腹疼痛，吃了東西後 1 小時更痛」，下列何者為其最可能之診斷？",13,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-medical-surgical-047","有關遲發型過敏反應之敘述，下列何者錯誤？",47,109,"2026-09-04",1788510759640]