[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-114-2-內外科護理學-041","nurse-114-2-medical-surgical-041",114,2,41,"高小姐的動脈血液氣體分析結果為 pH 7.48、PaCO 2 48 mmHg、HCO 3- 30 mmHg、PaO 2 92 mmHg，根據以上數值，判讀結果下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"未代償性呼吸性酸中毒","完全代償性代謝性酸中毒","部分代償性代謝性鹼中毒","未代償性呼吸性鹼中毒","C",null,[],"本題考點在於動脈血液氣體分析的判讀。依酸鹼判讀三步驟:先看 pH 7.48 大於 7.45 屬鹼中毒;再看主要偏移,HCO₃⁻ 30 mmol\u002FL 高於正常 22–26 屬鹼性方向,與鹼血症一致,故為代謝性鹼中毒;PaCO₂ 48 mmHg 高於正常 35–45,呼吸性方向偏酸,方向與 pH 相反,代表呼吸系統正以滯留 CO₂ 進行代償,故選 C 部分代償性代謝性鹼中毒。因 pH 仍落在異常區(未回到 7.35–7.45)屬部分代償而非完全代償,故 B、D 錯;主要異常為代謝性鹼中毒非呼吸性,A、D 均錯。","判讀口訣:pH 定酸鹼→找與 pH 同向的原發指標(HCO₃⁻ 管代謝、PaCO₂ 管呼吸)→看另一項是否反向代償→pH 是否回正常定代償程度。此題 HCO₃⁻ 與 pH 同向(皆鹼)為原發,PaCO₂ 反向升高為代償;完全代償的定義是 pH 回到正常範圍。",[24,27,30,33],{"term":25,"count":26},"動脈血液氣體分析",10,{"term":28,"count":29},"代謝性鹼中毒",6,{"term":31,"count":32},"呼吸代償",5,{"term":34,"count":35},"酸鹼判讀三步驟",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-114-2-medical-surgical-042","有關腦下垂體前葉分泌的激素，下列何者正確？①生長素（growth hormone） ②促乳素（prolactin） ③催產素（oxytocin） ④抗利尿素（ADH）",42,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"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":47,"stem":48,"number":49,"year":50,"session":35},"nurse-106-1-medical-surgical-032","有關心衰竭病人使用多巴胺（dopamine）之敘述，下列何者正確？",32,106,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-107-1-medical-surgical-070","有關代謝性酸中毒造成之原因，下列何者錯誤？",70,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-2-medical-surgical-034","有關多發性骨髓瘤的臨床症狀，下列何者錯誤？",34,108,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-109-2-medical-surgical-068","有關庫欣氏症候群症狀（Cushing’s syndrome）之病理機轉，下列何者正確？",68,109,"2026-09-04",1788510759846]