[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-107-1-內外科護理學-077","nurse-107-1-medical-surgical-077",107,1,77,"劉小弟 13 歲，至海邊戲水不慎發生溺水，到達急診時體溫：34℃、心跳：102 次\u002F分、呼吸：32 次\u002F分、血壓：80\u002F60 mmHg，呼吸音出現瀰漫性水泡音，胸部 X 光呈現肺水腫。依據上述資料，以臺灣急診檢傷急迫度分級量表（TTAS）判斷病人目前溺水之嚴重程度，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"2 級","3 級","4 級","5 級","A","第77題答Ａ給分",[],"本題考點為以臺灣急診檢傷急迫度分級量表(TTAS)判讀溺水個案的危急程度。TTAS共五級,第1級復甦、第2級危急、第3級緊急、第4級次緊急、第5級非緊急。本例呈現血壓80\u002F60 mmHg偏低、呼吸32次\u002F分且有瀰漫性水泡音、胸部X光肺水腫、體溫34℃低體溫,顯示呼吸窘迫合併血流動力學不穩、有立即惡化風險,依TTAS屬第2級「危急」,故選A。3級(B)、4級(C)、5級(D)適用於生命徵象相對穩定者,與本例的呼吸循環危象不符。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840741142]