[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-106-1-內外科護理學-070","nurse-106-1-medical-surgical-070",106,1,70,"有關糖尿病酮酸中毒之常見徵象，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"皮膚濕冷或出汗","呼吸性酸中毒","出現 Kussmaul’s 呼吸","症狀發展非常快速","C",null,[],"本題考點為糖尿病酮酸中毒（DKA）的典型徵象。DKA 因胰島素嚴重不足使脂肪大量分解產生酮酸，導致代謝性酸中毒，身體代償性地出現又深又快的 Kussmaul's 呼吸以排出二氧化碳降低酸度，故選 C。A 皮膚因脫水應為溫熱乾燥而非濕冷（濕冷屬低血糖）;B 為代謝性酸中毒而非呼吸性;D 症狀多為數小時至數天的漸進發展，而非非常快速，皆為錯誤敘述，故不選。","對比記憶:DKA(第一型多見)——高血糖、酮體↑、Kussmaul 深快呼吸帶爛蘋果味、脫水皮膚乾熱、進展較緩;低血糖——冷汗濕冷、心悸、發作快。Kussmaul 呼吸屬「呼吸代償代謝性酸中毒」的表現,是核心鑑別點。",[24,27,30,32],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":29},"糖尿病酮酸中毒 DKA",3,{"term":31,"count":10},"Kussmaul's 呼吸",{"term":33,"count":10},"脂肪分解酮體",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-071","唐女士，口腔癌術後狀況穩定，胰島素注射一天 4 次，鼻胃管灌食一天 6 餐，消化良好，空腹指尖血糖約 100～140 mg\u002FdL，手術前糖化血色素（HbA1c）為 9.5%。唐女士表示「我住院開刀前糖尿病是以口服藥控制，而且血糖控制很好的，我一定要注射胰島素嗎？」護理師的回答，下列何者最適切？",71,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-107-1-medical-surgical-007","有關多發性硬化症的敘述，下列何者錯誤？",7,107,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-107-2-medical-surgical-021","下列何者為預防上石膏肢體肌肉力量變差之運動？",21,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-108-2-medical-surgical-059","下列何項實驗室檢查結果最能顯示腎臟功能受損？",59,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-medical-surgical-023","關於糖尿病性酮酸中毒（DKA）的敘述，下列何者正確？",23,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-057","有關肺栓塞的醫療處置，下列何者錯誤？",57,111,"2026-09-04",1788510693391]