[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-073":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-110-2-內外科護理學-073","nurse-110-2-medical-surgical-073",110,2,73,"王先生，58 歲，罹患糖尿病 2 年，藉由口服抗血糖藥物、飲食與運動控制血糖，今日在家昏倒救護車送入急診，心跳 118 次／分，血壓 85\u002F50 mmHg，呼吸速率 20 次／分，血糖為 650 mg\u002FdL。下列何者為最可能之診斷？",{"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）","D",null,[],"本題考點在辨識高血糖急症中HHS與DKA的鑑別。依HHS診斷特徵,好發於第二型糖尿病、血糖常高於600 mg\u002FdL、血漿滲透壓升高但無明顯酮酸,王先生血糖650 mg\u002FdL並有脫水與循環衰竭(心跳118、血壓85\u002F50),符合高滲透壓高血糖狀態,故選D。(A)乳酸中毒以乳酸堆積與陰離子間隙增大為主,非本情境典型。(B)低血糖昏迷血糖應偏低,與650 mg\u002FdL相反。(C)DKA多見於第一型,伴明顯酮體與代謝性酸中毒,與本題無酮酸背景不符。考點在於年長第二型加極高血糖與脫水即優先想HHS。",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？",6,1783840766280]