[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":62},"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,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-2-基本護理學與護理行政-016","nurse-115-2-fundamental-nursing-016",115,2,16,"當輸液套未妥善排氣，導致空氣進入病人體內可能危及病人生命，下列何者不是空氣栓塞的症狀？",{"A":15,"B":16,"C":17,"D":18},"血壓下降","發紺","脈搏變快而弱","頸靜脈怒張","D",null,[],"本題考點是空氣栓塞與循環容積過多兩組表現的區辨。空氣進入靜脈後在右心與肺動脈形成氣泡阻斷血流,使心輸出量驟降,臨床可見血壓下降、脈搏快而弱、發紺、呼吸困難、胸痛與意識改變,故 A、B、C 都屬空氣栓塞的表現。D 的頸靜脈怒張反映的是中心靜脈壓上升、右心回流受阻或血液容積過多,是點滴給液過多與心衰竭的典型徵象,方向與空氣栓塞造成的低灌流循環衰竭不同,故選 D。","區辨表可這樣記:空氣栓塞等於心輸出量驟降,表現為低血壓、休克樣、脈搏快而弱,少數可在心前區聽到攪動樣雜音;點滴給液過多等於血液容積過多,表現為血壓上升、頸靜脈怒張、呼吸急促與肺部濕囉音。預防重點在給藥前完全排氣、接頭旋緊、更換點滴套時先夾住管路,中心靜脈導管拔除時採平躺並避免深吸氣造成胸內負壓吸入空氣。發生時的體位處置概念是左側頭低,使氣體滯留右心而不進入肺動脈。",[25,26,29,31],{"term":18,"count":11},{"term":27,"count":28},"空氣栓塞",1,{"term":30,"count":28},"循環容積過多",{"term":32,"count":28},"中心靜脈壓",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-115-2-fundamental-nursing-017","有關人體水份含量的敘述，下列何者正確？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-fundamental-nursing-063","下列何者不屬於專科護理師之角色與功能？",63,106,{"webId":44,"stem":45,"number":46,"year":42,"session":11},"nurse-106-2-fundamental-nursing-077","品管圈小組透過查核、問卷調查找出造成病人血液管路感染率的根本原因後，成員欲使用新七手法找出改善的策略，下列何者不適用？",77,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-fundamental-nursing-035","協助病人更衣的步驟，下列敘述何者正確？",35,108,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-fundamental-nursing-079","下列何者屬直接成本？①護理人員薪資 ②行政作業電腦設備 ③執行護理時耗用之衛材 ④護理人員教育訓練費用",79,109,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-110-2-fundamental-nursing-033","病人便秘、痔瘡凸出疼痛，下列冷熱處理方式，何者最適當？",33,110,"2026-08-06",1787299031607]