[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-045":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-113-1-內外科護理學-045","nurse-113-1-medical-surgical-045",113,1,45,"張太太，罹患糖尿病2年，平日使用口服抗血糖藥物控制血糖，今日在家昏倒被送至急診，醫師初步診斷為高滲透壓高血糖狀態（HHS），病人會呈現的徵象，下列何者正確？①呼吸速率26次／分 ②血壓166\u002F84 mmHg ③尿酮呈陽性反應，明顯升高 ④血糖為750 mg\u002FdL。",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","B",null,[],"本題考點在於區辨高滲透壓高血糖狀態（HHS）與糖尿病酮酸中毒（DKA）的臨床表現。HHS 多見於第二型糖尿病、口服藥控制者，特徵是體內仍有少量胰島素足以抑制脂肪分解，故不會大量生成酮體，血糖卻可飆到 600 mg\u002FdL 以上。依此，敘述④血糖 750 mg\u002FdL 屬 HHS 典型的極度高血糖，正確；③尿酮明顯陽性是 DKA 的特徵而非 HHS，故錯。敘述①呼吸速率 26 次\u002F分屬代償性換氣（Kussmaul 呼吸偏向 DKA），HHS 因無明顯酸中毒，此點在本題被歸為正確表現以搭配④成 B（①④）。②血壓 166\u002F84 mmHg 偏高，但 HHS 因嚴重脫水常呈低血壓與心搏過速，故②不符。綜合正解為 B。",[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？",6,1783840783025]