[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-033":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-109-2-內外科護理學-033","nurse-109-2-medical-surgical-033",109,2,33,"有關病人心電圖 VT 之相關處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"有意識的情況下，實施去纖維震顫術，應選擇同步心臟電氣轉換術（synchronized cardioversion）","無脈搏的情況下，實施去纖維震顫術前，應先注射麻醉鎮靜劑","有脈搏的情況下，實施去纖維震顫術，可直接使用 100 焦耳","心電圖從 VT 變 Vf 時，應停止實施去纖維震顫術，改心肺復甦術","A",null,[],"本題考點是心室頻脈（VT）電擊治療的適應症區分。考點在於辨識「有脈搏」與「無脈搏」VT的處置差異：依高級心臟救命術（ACLS），有脈搏（有意識）的VT仍有心輸出，須用「同步心臟電氣轉換術」，讓電擊對準R波、避開T波以免誘發VF，故選A。B錯在無脈搏VT等同VF，屬立即去顫指徵，救命為先不可為打鎮靜劑而延遲。C錯在有脈搏VT應採同步整流而非直接高能量去顫，能量也非固定100焦耳直上。D錯在心律由VT惡化為VF時，VF正是去顫（defibrillation）的明確指徵，應立即電擊而非停止。",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？",6,1783840755074]