[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-042":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-114-1-內外科護理學-042","nurse-114-1-medical-surgical-042",114,1,42,"有關糖尿病酮酸中毒（DKA）之處置，下列何者正確？①建立靜脈輸液，由低劑量胰島素開始給與 ②最初2小時，給與0.45％生理食鹽水維持電解質平衡         ③等尿液排出量恢復正常，應補充鉀離子 ④血液pH值>7.1時，則與以重碳酸鈉（NaHCO 3）",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","B",null,[],"本題考點在於糖尿病酮酸中毒的緊急處置原則。依DKA的治療流程：①先建立靜脈輸液並以低劑量胰島素持續滴注以緩降血糖，避免血糖與滲透壓驟降；③胰島素治療會使鉀離子移入細胞，故待尿量恢復（腎功能確認）後應補充鉀離子以防低血鉀，①③正確故選B。②初期補液應先用0.9%生理食鹽水快速矯正脫水，非一開始就用0.45%；④重碳酸鈉僅在嚴重酸中毒（pH小於約7.0）時才考慮，pH大於7.1不需給予，故②④錯誤而排除。",[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？",6,1783840784291]