[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-110-1-內外科護理學-074","nurse-110-1-medical-surgical-074",110,1,74,"長期接受血液透析的病人，突然意識改變、出現抽筋及肌肉無力情況，入急診求治，抽血檢查結果：尿素氮／肌酸酐 120 mg\u002FdL／10.6 mg\u002FdL、鉀離子 7.8 mg\u002FdL、鈉離子 135 mg\u002FdL，動脈血液氣體分析結果：pH 7.28、PaO 70 mmHg、PaCO 30 mmHg、 HCO _ 20 mEq\u002FL。下列判斷何者正確？ 2 2 3",{"A":14,"B":15,"C":16,"D":17},"未代償性呼吸性酸中毒","部分代償性代謝性酸中毒","完全代償性呼吸性鹼中毒","未代償性代謝性鹼中毒","B",null,[],"本題考點在於動脈血液氣體分析的酸鹼判讀。數據pH 7.28偏低屬酸血症，HCO₃⁻ 20 mEq\u002FL低於正常代表代謝性酸中毒為主因，PaCO₂ 30 mmHg亦下降顯示呼吸系統已代償，但pH仍未回到正常範圍，屬部分代償，故選B部分代償性代謝性酸中毒。選項A錯在pH與HCO₃⁻方向指向代謝性而非呼吸性，且PaCO₂已下降表示有代償。選項C錯在pH仍異常非完全代償，且原發問題非呼吸性鹼中毒。選項D錯在pH偏酸為酸中毒而非鹼中毒。此病人長期透析、腎衰竭正符合代謝性酸中毒背景。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840762600]