[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-067":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-108-2-內外科護理學-067","nurse-108-2-medical-surgical-067",108,2,67,"有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"建立靜脈輸液，給予 0.9%生理食鹽水","皮下注射大劑量短效胰島素","當血糖降至 300 mg\u002FdL，應補充葡萄糖溶液","監測血中鉀離子濃度變化","B",null,[],"本題考點為糖尿病酮酸中毒(DKA)的急性處置原則，須找出錯誤者。DKA 的胰島素治療原則是持續靜脈輸注「小劑量」短效(regular)胰島素以平穩降糖、避免血糖與電解質劇烈波動，故「皮下注射大劑量短效胰島素」錯誤，選 B。選項 A 建立靜脈管路先給 0.9% 生理食鹽水補充脫水與循環容積，是 DKA 首要處置，正確。選項 C 當血糖降至約 250～300 mg\u002FdL 時加入含葡萄糖溶液，可持續給胰島素清除酮體又避免低血糖，正確。選項 D 監測血鉀是因胰島素會把鉀帶入細胞內致低血鉀，必須密切追蹤，正確。故錯在給藥途徑與劑量。",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？",6,1783840759347]