[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-048":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-048","nurse-114-3-medical-surgical-048",114,3,48,"嚴重特殊傳染性肺炎（COVID-19）病人之呼吸照護，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"呼吸喘而拮抗呼吸器，應避免給予鎮靜劑與肌肉鬆弛劑","體液輸出入負平衡及俯臥姿勢，有助改善氧合狀態","以噴霧治療稀釋痰液，並提供足夠氧氣","以 T 型管（T-Piece）進行呼吸器脫離訓練","B",null,[],"本題考點在於COVID-19重症併發急性呼吸窘迫症候群(ARDS)的呼吸照護。正解B:俯臥姿勢(prone position)可改善肺部背側塌陷區的通氣灌流比、增加氧合;維持體液輸出入負平衡可減輕肺水腫、改善氣體交換,兩者皆為ARDS實證處置,故最適當。A錯誤,病人與呼吸器拮抗時,常需適當給予鎮靜劑甚至肌肉鬆弛劑以配合機械通氣、降低耗氧,而非避免;C錯誤,噴霧治療會產生飛沫氣溶膠、增加病毒傳播風險,應避免;D錯誤,重症ARDS呼吸功能尚未穩定時不宜貿然以T型管進行呼吸器脫離訓練。故選B。","ARDS採「肺保護通氣」:低潮氣容積(約6 ml\u002Fkg理想體重)、限制plateau壓、允許性高碳酸、適度PEEP;中重度可俯臥每日16小時以上以改善氧合與存活。限水可降低肺水腫,但須維持足夠灌流。氣溶膠產生程序(噴霧、插管)需嚴格防護。記憶:「趴著、少水、保護肺」。",[24,27,30,32],{"term":25,"count":26},"急性呼吸窘迫症候群ARDS",2,{"term":28,"count":29},"COVID-19",1,{"term":31,"count":29},"俯臥姿勢改善氧合",{"term":33,"count":29},"體液負平衡",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-049","有關泌尿道感染，下列敘述何者最適當？①確立診斷是指尿液培養每毫升菌落>10 5 個 ②上泌尿道感染是指尿道炎及膀胱炎 ③膀胱炎常見的致病菌為大腸桿菌 ④症狀改善或沒發燒即可停用抗生素",49,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-045","副甲狀腺切除術後易發生下列何種現象？",45,115,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-2-medical-surgical-009","有關肝硬化病人會出現手掌紅斑之原因，下列何者正確？",9,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-047","有關不同燒傷深度的傷口癒合情形之敘述，下列何者錯誤？",47,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-medical-surgical-011","腸道檢查前一日，可以攝取之飲食，下列何者較適當？",11,109,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-045","有關化學物質燒傷導致皮下組織損傷的處置，下列何者錯誤？",110,"2026-09-04",1788510762249]