[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-108-2-內外科護理學-062","nurse-108-2-medical-surgical-062",108,2,62,"對於蔡先生在急診室測得的動脈血氧氣體分析結果：pH 7.25、PaCO 2 31 mmHg、HCO 3- 18 mEq\u002FL 之判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸性酸中毒","部分代償性呼吸性酸中毒","代謝性酸中毒","部分代償性代謝性酸中毒","D",null,[],"本題考點為動脈血液氣體分析的酸鹼判讀四步驟。先看 pH 7.25 低於 7.35 屬酸中毒；再看 HCO₃⁻ 18 mEq\u002FL 低於正常(22～26)，方向與酸中毒一致，判定為代謝性酸中毒；PaCO₂ 31 mmHg 低於正常(35～45)，代表呼吸系統以過度換氣排出 CO₂ 進行代償，但 pH 仍未回到正常範圍，屬部分代償，故選 D。選項 A、B 呼吸性酸中毒的原發應是 PaCO₂ 升高，但此處 PaCO₂ 反而下降，方向不符。選項 C 代謝性酸中毒只描述原發問題，卻忽略 PaCO₂ 已明顯下降的代償現象，故不如 D 完整正確。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840759302]