[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-內外科護理學-033","nurse-114-3-medical-surgical-033",114,3,33,"有關急性呼吸衰竭之氧合與通氣的評估，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"動脈血液氣體分析","血流動力學監測","胸部 X 光檢查","脈衝式血氧濃度儀監測","A",null,[],"本題考點在於同時評估「氧合」與「通氣」的最佳工具。正解A:動脈血液氣體分析(ABG)可同時測得PaO₂(反映氧合)與PaCO₂、pH(反映通氣與酸鹼狀態),是判定急性呼吸衰竭型別(第一型缺氧、第二型高碳酸)的黃金標準,故最適當。B錯誤,血流動力學監測評估的是循環與心輸出量,非通氣;C錯誤,胸部X光呈現肺部結構影像,無法量化氣體交換;D錯誤,脈衝式血氧濃度儀僅能測SpO₂反映氧合,無法得知PaCO₂即通氣狀況。故唯A能兼顧氧合與通氣,選A。","呼吸衰竭第一型:PaO₂小於60 mmHg而PaCO₂正常或偏低(氧合問題);第二型:PaCO₂大於50 mmHg並伴低氧(通氣問題)。SpO₂只反映血氧飽和度,對通氣與早期高碳酸血症不敏感。記憶:「要看通氣必看CO₂,只有ABG測得到」。",[24,27,30,32],{"term":25,"count":26},"呼吸衰竭分型",2,{"term":28,"count":29},"動脈血液氣體分析ABG",1,{"term":31,"count":29},"PaO2氧合",{"term":33,"count":29},"PaCO2通氣",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-034","有關心肌梗塞急性期處置，下列敘述何者最適當？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-030","異位性皮膚炎病人血液中會出現下列何種免疫球蛋白升高？",30,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-074","有關原發性醛固酮過多症之臨床表徵，下列何者正確？",74,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-032","張先生，64 歲，因呼吸喘、下肢水腫至急診求治，診斷為心臟衰竭。護理師助張先生作身體檢查與評估時，下列何項檢查因心臟衰竭而可能會有陽性反應發現？",32,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-medical-surgical-076","有關食物中毒之敘述，下列何者錯誤？",76,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-030","預防靜脈曲張的護理指導，下列何者最適當？①避免外傷 ②下肢不宜抬高 ③不需特別控制體重 ④應規律運動",110,"2026-09-04",1788510762131]