[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-112-2-fundamental-nursing-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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":23},"nurse-112-2-基本護理學與護理行政-040","nurse-112-2-fundamental-nursing-040",112,2,40,"急診室接到重大車禍傷患，到院時意識不清，血壓只有 70\u002F35 mmHg，懷疑內出血，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"需雙手同時按壓頸動脈測量脈動","因脈動過速而出現高壓脈的狀況","脈波微弱做觸診會有摸不到情況","脈搏震幅交替產生強弱不穩狀態","C",null,[],"本題考點是低血容性休克時脈搏的觸診特徵。血壓 70\u002F35 mmHg、疑內出血屬低血容性休克,依血流動力學,心輸出量與周邊灌流下降使脈波振幅微弱,觸診時脈搏細弱難尋、甚至摸不到(絲脈,thready pulse),故 C 正確。A 錯,絕不可雙手同時按壓兩側頸動脈,會阻斷腦部血流並可能引發迷走反射導致心律變化,極度危險。B 錯,休克時血壓下降,不會出現「高壓脈(洪脈)」;洪脈見於發燒、甲亢等高輸出狀態。D 錯,脈搏強弱交替(交替脈,pulsus alternans)是左心衰竭的表現,與低血容休克的絲脈機轉不同。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"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":30,"stem":31,"number":11,"year":28,"session":23},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":33,"stem":34,"number":35,"year":28,"session":23},"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":28,"session":23},"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":28,"session":23},"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":28,"session":23},"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？",6,1783840775849]