# 重度ARDS ICU病人於FiO2 100%、PEEP 14時P/F 95。團隊準備俯臥位。俯臥期間最重要的監測?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=zh-tw  
> language: zh-TW  
> subject: NCLEX-RN  
> category: ROR

## 題目

重度ARDS ICU病人於FiO2 100%、PEEP 14時P/F 95。團隊準備俯臥位。俯臥期間最重要的監測?

## 選項

1. 轉位前、中、後確認ETT深度與通暢 **✔ 正確答案**
2. 於俯臥期間停鎮靜以便神經評估
3. 降低PEEP以利轉位
4. 限制俯臥

**正確答案: 1**

## 解析

重度ARDS(P/F

## 深入解析

預防壓傷:胸、骨盆、腿下放枕,腹部懸空,頭與手臂每2小時重新擺位(游泳姿)。

## 臨床情境

鎮靜並肌肉鬆弛。ETT固定佳。皮膚完整。在norepinephrine下血流動力學穩定。

## 重要概念

- **ARDS** — 急性呼吸窘迫症候群 — 雙側浸潤與炎症性損傷致低氧。
- **P/F比** — PaO2/FiO2 — ARDS嚴重度:輕度200-300、中度100-200、重度
- **PROSEVA試驗** — 證明俯臥可降低重度ARDS死亡率之RCT試驗。

## 相同主題題目

- [A patient with severe contamination obsessive-compulsive disorder is starting exposure and…](https://mymerci.kr/pages/nclex_q.php?qn_id=372864&lang=zh-tw)
- [A nurse is providing HPV vaccine education to the parent of an 11-year-old at a routine we…](https://mymerci.kr/pages/nclex_q.php?qn_id=372865&lang=zh-tw)
- [An 82-year-old patient with moderate Alzheimer dementia becomes increasingly agitated, res…](https://mymerci.kr/pages/nclex_q.php?qn_id=372904&lang=zh-tw)
- [An adult patient has been seizing continuously for 6 minutes. The provider asks the nurse …](https://mymerci.kr/pages/nclex_q.php?qn_id=373126&lang=zh-tw)
- [Four patients arrive in the ED. Which patient presentation indicates a hypertensive EMERGE…](https://mymerci.kr/pages/nclex_q.php?qn_id=373127&lang=zh-tw)
- [A patient has a serum potassium of 2.8 mEq/L and a new order for IV potassium chloride 40 …](https://mymerci.kr/pages/nclex_q.php?qn_id=373128&lang=zh-tw)
- [A patient on chronic phenytoin for seizure disorder reports new diplopia and unsteady gait…](https://mymerci.kr/pages/nclex_q.php?qn_id=373129&lang=zh-tw)
- [The night-shift nurse receives a telephone order from the on-call provider for "morphine 4…](https://mymerci.kr/pages/nclex_q.php?qn_id=373130&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=375057&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_