[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"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":11},"nurse-108-1-基本護理學與護理行政-042","nurse-108-1-fundamental-nursing-042",108,1,42,"病人因車禍導致身體多處挫傷，車禍當時呼吸急促、感覺呼吸不順、血壓下降，下列何者是造成病人呼吸變化最有可能的原因？",{"A":15,"B":16,"C":17,"D":18},"疼痛","焦慮","內出血","副交感神經受刺激情況題：吳太太，76 歲，高血壓 20 年，服用 β 阻斷劑藥物控制。此次因膽囊炎住院，進行膽囊切除術，術後因傷口疼痛一直抱怨晚上睡不好，精神顯疲倦，不愛說話，白天幾乎都臥床閉目休息，醫囑開立 Ativan 一顆睡前服用。依此情況回答下列第 43 題至第 45 題。","C",null,[],"本題考點是創傷後呼吸變化的病因判斷,關鍵在整合「多處挫傷+血壓下降+呼吸急促」三線索。依低血容性休克的病生理,體內出血使血容量與血壓下降,組織灌流不足、氧氣輸送減少,身體以加快呼吸代償,故最可能原因是C內出血,選C。A疼痛雖可致呼吸加快,但無法解釋血壓下降;B焦慮同樣造成呼吸急促卻不會使血壓下降,反多見血壓上升;D副交感神經受刺激會使心跳與血壓下降、呼吸減慢,與「呼吸急促」方向矛盾。唯有內出血能同時解釋血壓下降與代償性呼吸急促兩項客觀變化,故為最佳答案。",[24,28,32,36,40,44],{"webId":25,"stem":26,"number":11,"year":27,"session":11},"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？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":11},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",2,{"webId":33,"stem":34,"number":35,"year":27,"session":11},"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":37,"stem":38,"number":39,"year":27,"session":11},"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":41,"stem":42,"number":43,"year":27,"session":11},"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":45,"stem":46,"number":47,"year":27,"session":11},"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？",6,1783840743987]