[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-071":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-107-2-內外科護理學-071","nurse-107-2-medical-surgical-071",107,2,71,"救護車送入一位昏迷病人，心跳 120 次\u002F分，血壓 85\u002F50 mmHg，呼吸速率 35 次\u002F分，呼吸有一股很濃的腐壞水果味，血糖為 600 mg\u002FdL。下列何者為其最可能之診斷？",{"A":14,"B":15,"C":16,"D":17},"乳酸中毒","低血糖昏迷","糖尿病酮酸中毒（DKA）","高滲透壓高血糖狀態（HHS）","C",null,[],"本題考點在辨識糖尿病急症的鑑別診斷。依臨床特徵,病人昏迷、血糖 600 mg\u002FdL、呼吸速率 35 次\u002F分(Kussmaul 深快呼吸)且呼氣帶爛水果味(丙酮味),合併低血壓與心搏過速,典型指向糖尿病酮酸中毒(DKA),故選 C;丙酮味與 Kussmaul 呼吸源自酮體堆積的代謝性酸中毒代償。選項 A 乳酸中毒不會出現爛水果味;選項 B 低血糖昏迷血糖應偏低而非 600 mg\u002FdL;選項 D 高滲透壓高血糖狀態血糖常更高,但以嚴重脫水為主,無明顯酮體、爛水果味及 Kussmaul 呼吸,故不符。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"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":32,"stem":33,"number":34,"year":27,"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":36,"stem":37,"number":38,"year":27,"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":40,"stem":41,"number":42,"year":27,"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":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840751385]