[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-113-2-fundamental-nursing-016":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-113-2-基本護理學與護理行政-016","nurse-113-2-fundamental-nursing-016",113,2,16,"輸血時發生咳嗽、心搏過速、高血壓及呼吸困難症狀，最有可能發生下列何種反應？",{"A":15,"B":16,"C":17,"D":18},"溶血反應","循環負荷過量","過敏性反應","熱原反應","B",null,[],"本題考點在於輸血反應的類型鑑別。病人出現咳嗽、心搏過速、高血壓與呼吸困難,依據輸血反應的臨床表現,這組症狀典型指向循環負荷過量（transfusion associated circulatory overload, TACO）——輸血速度過快或量過多使血循量驟增、心臟負荷過重,引發肺充血與呼吸困難,故選 B。A 溶血反應以發燒、寒顫、腰背痛、血尿為主;C 過敏性反應以蕁麻疹、搔癢、支氣管痙攣甚至休克表現,血壓多下降;D 熱原反應以發燒寒顫為主。唯循環負荷過量會呈現血壓上升合併肺水腫症狀。",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？",6,1783840777212]