[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-038":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-110-1-基本護理學與護理行政-038","nurse-110-1-fundamental-nursing-038",110,1,38,"李先生車禍後因腦挫傷導致顱內壓上升，他的體溫及呼吸可能會出現下列何種反應？",{"A":15,"B":16,"C":17,"D":18},"體溫上升、呼吸過速","體溫上升、呼吸過慢","體溫下降、換氣過度","體溫下降、換氣不足","B",null,[],"本題考點是顱內壓上升時的體溫與呼吸反應。依顱內壓增高的病理生理，壓迫下視丘體溫調節中樞可致中樞性發燒使體溫上升，壓迫腦幹呼吸中樞則使呼吸變慢而深，屬庫欣反應（Cushing reflex）的一環，故選 B 體溫上升、呼吸過慢。A 體溫上升正確但呼吸過速不符，顱內壓高的典型是呼吸變慢或不規則；C、D 皆將體溫描述為下降，與中樞性發燒的方向相反，且換氣過度或不足亦非顱內壓增高的典型呼吸型態。考點在連結「顱內壓上升→中樞受壓→發燒＋呼吸變慢＋血壓上升、脈搏變慢」這組庫欣反應徵象。",[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？",6,1783840761644]