[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-037":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-114-3-內外科護理學-037","nurse-114-3-medical-surgical-037",114,3,37,"有關低血容性休克分期的進行期，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"身體代償機轉已無法逆轉休克的進行，會導致皮膚濕冷、體溫下降","心輸出量下降、血壓下降，可以選擇輸注等張 0.9%生理食鹽水","造成呼吸性酸中毒、乳酸轉換上升，需要避免輸注乳酸林格氏輸液","會造成血中尿素氮（BUN）上升及肌酸酐（creatinine）上升","C",null,[],"本題考點在於低血容性休克進行期的病生理與酸鹼變化。本題為反向題,要選最不適當者。錯誤敘述為C:休克進行期組織灌流不足、細胞行無氧代謝,乳酸堆積造成的是「代謝性酸中毒」而非「呼吸性酸中毒」,故C對酸鹼型別的描述有誤。A正確,代償失效時周邊血管收縮、灌流下降,出現皮膚濕冷與體溫下降;B正確,休克致心輸出量與血壓下降,可輸注等張的0.9%生理食鹽水擴充血容積;D正確,腎臟灌流不足使腎功能受損,血中尿素氮(BUN)與肌酸酐皆上升。故最不適當為C。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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？",6,1783840785181]