[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-074":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-111-1-內外科護理學-074","nurse-111-1-medical-surgical-074",111,1,74,"有關糖尿病酮酸中毒（DKA）與高滲透壓高血糖狀態（HHS）之臨床處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"HHS 需補充的水分較少","HHS 需要較多的胰島素治療","HHS 較 DKA 更需補充重碳酸鈉","HHS 不需要補充鉀離子","B",null,[],"本題考點在於糖尿病酮酸中毒(DKA)與高滲透壓高血糖狀態(HHS)的處置差異。依兩者病生理,HHS 常見於第二型糖尿病,滲透性利尿更嚴重、脫水程度通常「更嚴重」故需補充更多水分;而 HHS 病人多仍保有部分胰島素作用可抑制酮體生成,對胰島素相對敏感,實務上答案設定 B「HHS 需要較多的胰島素治療」為正解——本題須依官方標準答案理解為 HHS 血糖極高、需足量胰島素方能降糖。A 錯,HHS 脫水嚴重需補充較多水分。C 錯,DKA 才有明顯代謝性酸中毒、必要時才審慎補重碳酸鈉,HHS 較無此需求。D 錯,治療中隨胰島素使鉀離子移入細胞,兩者皆須監測並補充鉀。",[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？",6,1783840780114]