[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-108-1-內外科護理學-070","nurse-108-1-medical-surgical-070",108,1,70,"下列何者最可能造成病人出現昏迷、呼吸快而深、血清有效滲透壓 300 mOsm\u002Fkg、血糖值 400 mg\u002FdL 的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"蘇莫吉效應（Somogyi effect）","急性肝昏迷","糖尿病性酮酸中毒","高血糖高滲透壓狀態","C",null,[],"本題考點在於糖尿病急性高血糖危症的鑑別。病人昏迷、呼吸快而深（Kussmaul 呼吸）、血糖 400 mg\u002FdL 而有效滲透壓僅 300 mOsm\u002Fkg，深快呼吸屬酸血症代償排酸，最符合糖尿病性酮酸中毒（DKA），選 C。（A）錯在蘇莫吉效應是夜間低血糖後反彈的晨間高血糖，不會造成昏迷與深快呼吸。（B）錯在急性肝昏迷源於血氨升高、肝性腦病變，不呈此高血糖圖像。（D）錯在高血糖高滲透壓狀態（HHS）血糖常達 600 mg\u002FdL 以上、有效滲透壓 >320，且無明顯酮酸與深快呼吸，與本題數值不符。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840744945]