[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-106-2-內外科護理學-064","nurse-106-2-medical-surgical-064",106,2,64,"有關雙胍類降血糖藥物 Metformin（Glucophage）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"飯前服用效果最佳","肝臟疾病病人可安心服用","增加胰島素分泌為其主要的藥理作用","易出現噁心或食慾減退等胃腸道刺激副作用","D",null,[],"本題考點為雙胍類口服降血糖藥 Metformin 的藥理與用藥。Metformin 主要作用是抑制肝臟糖質新生、增加周邊組織對胰島素的敏感性,常見副作用為噁心、腹瀉、食慾減退等胃腸道刺激,故 D 正確。A 為減少胃腸刺激,Metformin 宜『隨餐或飯後』服用而非飯前效果最佳,錯誤;B 肝功能不良者因增加乳酸中毒風險應避免,並非可安心服用,錯誤;C『增加胰島素分泌』是磺醯脲類(sulfonylurea)的機轉,非雙胍類,錯誤。故選 D。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":28,"stem":29,"number":10,"year":9,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840737424]