[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-內外科護理學-019","nurse-115-1-medical-surgical-019",115,1,19,"有關心因性休克護理重點之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"依醫囑使用促進心臟幫浦之藥物","使用溫熱療法（如電毯）提高全身周邊循環血量","為提高心輸出量，必要時協助放置主動脈內氣球幫浦（IABP）","給予氧氣使用","B",null,[],"本題考點是心因性休克的血流動力學處置方向。依其病生理,問題在於心肌收縮力衰竭導致心輸出量不足,周邊血管收縮是維持血壓與重要器官灌流的代償;使用電毯等溫熱療法會讓周邊血管擴張、血液滯留於皮膚與四肢,回心血量與血壓進一步下降,同時提高代謝率與心肌耗氧量,方向完全相反,故 B 錯誤。A 正確:依醫囑使用正性肌力藥物可增強心肌收縮以提升心輸出量。C 正確:主動脈內氣球幫浦於舒張期充氣可提高冠狀動脈灌流並降低後負荷。D 正確:給氧可改善組織缺氧與心肌氧供需失衡。","所有休克照護的共同誤區就是「主動加溫全身」,正確做法是保暖避免寒顫造成耗氧上升,但不使用主動熱源擴張血管。心因性休克的血流動力學特徵是心輸出量下降、中心靜脈壓與肺動脈楔壓上升、周邊阻力上升,與低血容性休克(壓力全低)、敗血性休克(初期高心輸出、低周邊阻力、皮膚溫暖)形成三方對照,可用「泵壞了、水不夠、管子太鬆」記憶。主動脈內氣球幫浦的關鍵原理是舒張期充氣提升冠狀動脈灌流、收縮期前瞬間放氣降低後負荷,護理重點包括觀察置入側肢體循環與監測出血。延伸複習:正性肌力藥與升壓劑的角色差異。",[24,27,29,31],{"term":25,"count":26},"心因性休克",7,{"term":28,"count":10},"後負荷與周邊血管阻力",{"term":30,"count":10},"主動脈內氣球幫浦",{"term":32,"count":10},"心肌氧供需平衡",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-medical-surgical-020","下列何者為右心衰竭的臨床表徵？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-medical-surgical-016","有關接受活體肝臟切片檢查病人之護理，下列何者錯誤？",16,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-medical-surgical-030","有關病人接受初期心臟復健運動之原則，以其活動時心跳增加速率不超過休息時多少百分比？",30,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-medical-surgical-068","有關慢性腎衰竭典型之合併症，不包括下列何項？",68,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-medical-surgical-032","有關惡性腫瘤特徵的敘述，下列何者正確？①細胞通常分化不良 ②腫瘤通常有被膜包覆 ③生長速度通常很迅速 ④易轉移易復發",32,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-medical-surgical-066","有關接受經尿道前列腺切除術病人之護理指導，下列何者錯誤？",66,110,"2026-08-06",1787299088734]