[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-內外科護理學-047","nurse-114-2-medical-surgical-047",114,2,47,"由 119 救護車送來一位因車禍 OHCA（out of hospital cardiac arrest）的病人到急診，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"OHCA 指病人到院前宣布死亡","急診檢傷分類為黑色視為死亡最後處理","應立即從頭到腳快速評估","病人應立即復甦急救","D",null,[],"本題考點在於到院前心跳停止(OHCA)的定義與急救原則。依 OHCA 為病人在醫院外發生心臟停止,到院時仍屬可急救對象,除非有明確死亡徵象否則應立即施行高品質心肺復甦與去顫,故選 D 病人應立即復甦急救。A 錯在 OHCA 指到院前心臟停止,並非等同到院前已宣布死亡,死亡須由醫師判定。B 錯在檢傷分類黑色雖代表已死亡或無存活可能,但此為 OHCA 剛送達、仍應優先急救,不可逕列黑色最後處理。C 錯在心臟停止的首要處置是立即 CPR 與去顫,而非先從頭到腳做次級評估。","CPR 優先於評估,順序為 C-A-B(壓胸→呼吸道→呼吸)。創傷性 OHCA 仍需 CPR,同時尋找並處理可逆病因(4H4T),外傷者著重張力性氣胸、大出血與心包填塞。檢傷黑色(黑標)用於大量傷患資源有限時,與單一 OHCA 病人的全力急救情境不同。",[24,27,29,31],{"term":25,"count":26},"OHCA 定義",1,{"term":28,"count":26},"心肺復甦優先",{"term":30,"count":26},"檢傷分類",{"term":32,"count":26},"可逆病因 4H4T",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-048","下列何者不是腸病毒 71 型病人併發重症的前兆？",48,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-115-1-medical-surgical-044","有關腦下垂體前葉功能低下之敘述，下列何者錯誤？",44,115,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-106-1-medical-surgical-038","有關再生不良性貧血之敘述，下列何者錯誤？",38,106,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-107-1-medical-surgical-076","中毒病人最優先之處置原則，下列何者正確？",76,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-040","有關病毒感染與罹患癌症相關性之敘述，下列何者錯誤？",40,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-074","有關糖尿病酮酸中毒（DKA）病人之檢驗結果，下列何者正確？①動脈血氧分析 pH 7.2 ②動脈血氧分析 pH 7.5 ③血中碳酸根離子濃度 14 mEq\u002FL ④血中碳酸根離子濃度 25 mEq\u002FL ⑤血清滲透壓>320 mOsm\u002Fkg ⑥血清滲透壓\u003C320 mOsm\u002Fkg",74,109,"2026-09-04",1788510759896]