[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-056":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-056","nurse-109-2-medical-surgical-056",109,2,56,"下列動脈血液氣體分析的報告，何者最能顯示慢性阻塞性肺疾病（COPD）病人的情況惡化？",{"A":14,"B":15,"C":16,"D":17},"pH 7.30，PaCO 2 60 mmHg，PaO 2 70 mmHg，HCO 3- 30 mEq\u002FL","pH 7.38，PaCO 2 45 mmHg，PaO 2 88 mmHg，HCO 3- 24 mEq\u002FL","pH 7.40，PaCO 2 40 mmHg，PaO 2 94 mmHg，HCO 3- 22 mEq\u002FL","pH 7.55，PaCO 2 30 mmHg，PaO 2 80 mmHg，HCO 3- 26 mEq\u002FL","A",null,[],"本題考點是動脈血液氣體分析（ABG）判讀慢性阻塞性肺疾病（COPD）惡化。考點在於辨識COPD惡化時二氧化碳蓄積加劇、氧合下降，呈現「呼吸性酸中毒合併低血氧」；A報告pH 7.30（酸血）、PaCO₂ 60mmHg（升高）、PaO₂ 70mmHg（偏低）、HCO₃⁻ 30mEq\u002FL（代償性上升）最能反映急性惡化，故選A。B、C各項數值皆在正常範圍，代表氣體交換穩定。D的pH 7.55、PaCO₂ 30mmHg為呼吸性鹼中毒（過度換氣），與COPD二氧化碳蓄積方向相反。故唯一顯示惡化者為A。",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？",6,1783840755277]