[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-048":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-048","nurse-114-3-medical-surgical-048",114,3,48,"嚴重特殊傳染性肺炎（COVID-19）病人之呼吸照護，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"呼吸喘而拮抗呼吸器，應避免給予鎮靜劑與肌肉鬆弛劑","體液輸出入負平衡及俯臥姿勢，有助改善氧合狀態","以噴霧治療稀釋痰液，並提供足夠氧氣","以 T 型管（T-Piece）進行呼吸器脫離訓練","B",null,[],"本題考點在於COVID-19重症併發急性呼吸窘迫症候群(ARDS)的呼吸照護。正解B:俯臥姿勢(prone position)可改善肺部背側塌陷區的通氣灌流比、增加氧合;維持體液輸出入負平衡可減輕肺水腫、改善氣體交換,兩者皆為ARDS實證處置,故最適當。A錯誤,病人與呼吸器拮抗時,常需適當給予鎮靜劑甚至肌肉鬆弛劑以配合機械通氣、降低耗氧,而非避免;C錯誤,噴霧治療會產生飛沫氣溶膠、增加病毒傳播風險,應避免;D錯誤,重症ARDS呼吸功能尚未穩定時不宜貿然以T型管進行呼吸器脫離訓練。故選B。",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？",6,1783840785269]