[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-075":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-075","nurse-108-2-medical-surgical-075",108,2,75,"病人發生休克時對肝臟系統之影響不包括下列何者？",{"A":14,"B":15,"C":16,"D":17},"早期出現血中葡萄糖增加","漸進期出現代謝性鹼中毒","漸進期出現乳酸轉換下降","漸進期出現血中葡萄糖下降","B",null,[],"本題考點為休克各期對肝臟與代謝的影響，須找出不會發生者。休克時組織灌流不足、缺氧使無氧糖解增加、乳酸堆積，整體走向代謝性酸中毒而非鹼中毒，故「漸進期出現代謝性鹼中毒」不包括在內，選 B。選項 A 正確，休克早期交感神經興奮與壓力荷爾蒙促進肝醣分解與糖質新生，使血糖上升。選項 C 漸進期因肝細胞缺氧受損、乳酸清除與轉換能力下降。選項 D 漸進期肝醣耗竭與肝功能下降後，血糖可轉為下降。故唯一方向錯誤者為代謝性鹼中毒。",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？",6,1783840759415]