[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-115-1-內外科護理學-033","nurse-115-1-medical-surgical-033",115,1,33,"王先生使用呼吸器，突然呼吸器出現壓力過高警報，下列何者為可能的原因？",{"A":14,"B":15,"C":16,"D":17},"呼吸器管路積水","呼吸器管路鬆脫","氣管氣囊漏氣","氣胸","A","第33題答Ａ或Ｄ或AD者均給分",[],"本題考點是呼吸器高壓警報與低壓警報成因的區辨。高壓警報代表送氣時遇到氣道阻力增加或肺順應性下降，管路內因水氣凝集而積水會使氣流通道變窄、阻力上升而觸發警報，屬最典型且可立即處理的機械性原因，故選A；同類成因還包括痰液阻塞、病人咳嗽或抵抗、管路扭曲打折與支氣管痙攣。B管路鬆脫與C氣管氣囊漏氣都使氣體外漏、迴路無法建立足夠壓力，觸發的是低壓或潮氣容積過低警報。D氣胸雖也可能因肺順應性下降而使氣道壓上升，屬本題可討論之處，但官方答案取管路積水這個最直接的成因。","呼吸器警報判讀的核心觀念是把壓力異常拆成「阻力」與「順應性」兩條路徑：阻力升高多來自管路與氣道（積水、痰液、扭曲、支氣管痙攣、咬管），順應性下降多來自肺與胸壁（氣胸、肺水腫、肺塌陷、腹脹、僵硬肺）。低壓警報則一律指向「漏」：管路脫落、接頭鬆脫、氣囊壓力不足、胸腔引流管漏氣。臨床處理順序常用「先看病人、再看機器」，並以聽診與尖峰壓、平原壓的差距來鑑別：阻力問題會使尖峰壓明顯高於平原壓，順應性問題則兩者同步上升。管路積水的預防在於維持集水杯位置低於病人氣道並定時傾倒，且不可將積水倒回加溫潮濕器，以免造成呼吸器相關肺炎。可延伸複習呼吸器相關肺炎的預防組合措施與拔管指標。",[24,26,28,30,32],{"term":25,"count":10},"呼吸器高壓警報",{"term":27,"count":10},"氣道阻力增加",{"term":29,"count":10},"低壓警報與漏氣",{"term":31,"count":10},"肺順應性",{"term":33,"count":10},"管路積水",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-medical-surgical-034","有關早期氧合不足會出現的徵象或症狀，下列何者最可能？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-medical-surgical-030","有關腹主動脈瘤病人的護理措施，下列何者錯誤？",30,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-medical-surgical-044","有關疥瘡病人照護方式之敘述，下列何者錯誤？",44,2,{"webId":50,"stem":51,"number":48,"year":52,"session":10},"nurse-108-1-medical-surgical-002","有關正子電腦斷層攝影術（Positron Emission Tomography, PET）的敘述，下列何者正確？",108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-medical-surgical-046","有關治療類風濕性關節炎使用之藥物，下列何者不適當？",46,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-1-medical-surgical-080","下列何者不屬於傳染病的護理評估項目？",80,110,"2026-08-06",1787299088913]