[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-025","nurse-115-2-fundamental-nursing-025",115,2,25,"影響病人血壓下降的因素，下列何者正確？①年長者 ②過敏性休克 ③飲用紅酒 ④服用類固醇",{"A":15,"B":16,"C":17,"D":18},"①②","①④","②③","③④","C",null,[],"本題考點是各因素對血壓的升降方向。②過敏性休克透過大量組織胺釋放造成全身血管擴張與微血管通透性增加,周邊阻力與有效循環容積同時下降,血壓因而降低;③紅酒中的酒精具血管擴張作用使周邊阻力下降,短時間內血壓下降,故正解為 C。①錯在年長者血管彈性減退、動脈硬化使周邊阻力上升,血壓傾向偏高。④錯在類固醇具礦物皮質素效應,促進鈉與水滯留使循環容積增加,血壓上升並可能出現水腫。判斷主軸是心輸出量、循環容積與周邊阻力三者的變化方向。","血壓等於心輸出量乘周邊血管阻力,任何影響這兩項的因素都會改變血壓。使血壓上升者包括交感神經興奮、疼痛、焦慮、抽菸(尼古丁造成血管收縮)、咖啡因、鈉與水分滯留、類固醇、口服避孕藥與年齡增長;使血壓下降者包括血管擴張(酒精、抗高血壓藥、發燒後期)、容積不足(出血、脫水)與心輸出量減少(心肌梗塞、心衰竭)。休克分類中過敏性、神經性與感染性屬分佈型,特徵是血管擴張而非血液流失。",[25,27,30,32],{"term":26,"count":11},"過敏性休克",{"term":28,"count":29},"血壓生理決定因素",1,{"term":31,"count":29},"酒精血管擴張作用",{"term":33,"count":29},"類固醇鈉水滯留",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-fundamental-nursing-026","病人骨折住院，無慢性病，今早護理人員測得耳溫 38.5℃，脈搏 90 次／分，呼吸 26 次／分，血壓為 110／64 mmHg，血氧濃度（SpO 2 ）為 89%，其異常的數值有下列何者？①體溫 ②脈搏 ③呼吸 ④血壓 ⑤血氧濃度",26,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-106-1-fundamental-nursing-072","突然大量的傷患湧入急診室，你是急診室護理長，下列處理何者適當？",72,106,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-107-1-fundamental-nursing-006","消除登革熱四大重點：「巡、倒、清、刷」，是阻斷下列疾病傳染模式中的何項因素？",6,107,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-108-1-fundamental-nursing-044","下列何項比較不會影響吳太太睡眠狀況？",44,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-109-2-fundamental-nursing-008","有關使用熱水袋之敘述，下列何者正確？",8,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-fundamental-nursing-042","有關藥物使用對排便之影響，下列敘述何者正確？",42,110,"2026-08-06",1787299031708]