[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-2-fundamental-nursing-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"freq":23},"nurse-106-2-基本護理學與護理行政-055","nurse-106-2-fundamental-nursing-055",106,2,55,"一位 50 歲男性，離婚，曾擔任機師已被確診為肺癌末期病人，經歷過化學治療、放射線治療及標靶治療。近日因出現嚴重的喘、呼吸困難及意識改變而入院治療，但因疾病持續進展，目前病人已面臨「瀕死」的階段。此階段病人可能會出現之生理變化，下列何者正確？①希式面容（Facies Hippocratica） ②畢歐氏呼吸（Biot’s respiration） ③鞏膜水腫 ④幻視覺或幻聽覺 ⑤疼痛減弱或消失",{"A":15,"B":16,"C":17,"D":18},"①②⑤","①③④","②④⑤","③④⑤","B",null,[],"本題考點是瀕死階段的生理變化辨識。依瀕死病生理,①希式面容(Facies Hippocratica,眼窩凹陷、鼻尖顴突、面色灰暗)反映嚴重脫水與循環衰竭;③循環衰竭與低蛋白使組織液滯留,可致鞏膜、結膜水腫;④瀕死伴代謝紊亂與腦部缺氧可出現幻視、幻聽,三者成立,故選 B(①③④)。②畢歐氏呼吸(Biot's respiration)是規律呼吸後突然暫停的型態,較常見於腦膜炎或延腦病變,而瀕死者典型的是潮式呼吸(Cheyne-Stokes),故不選;⑤在本題未列入正解組合。本題涉及呼吸型態鑑別與部分症狀認定,把握度略降。",1,[25,28,31,35,39,43],{"webId":26,"stem":27,"number":23,"year":10,"session":23},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",{"webId":29,"stem":30,"number":11,"year":10,"session":23},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":32,"stem":33,"number":34,"year":10,"session":23},"nurse-106-1-fundamental-nursing-003","王先生因腦血管損傷住院中，下列何種灌注溶液不適合王先生使用？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":23},"nurse-106-1-fundamental-nursing-004","醫囑為 Acetaminophen 1 tab q6h p.r.n. if BT≧39℃之含義，下列敘述何者正確？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":23},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":23},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,1783840736659]