[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-108-1-內外科護理學-062","nurse-108-1-medical-surgical-062",108,1,62,"有關病人血清鉀為 7.0 mEq\u002FL 之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"口服或灌腸給予 Kayexalate","靜脈注射短效胰島素及 50%葡萄糖溶液","靜脈注射重碳酸鈉","鼓勵多食用柳丁、香蕉","D",null,[],"本題考點在於高血鉀（7.0 mEq\u002FL）的緊急處置。血鉀 7.0 已達危及心律的重度高血鉀，處置目標為排出鉀、將鉀移入細胞內並穩定心肌；鼓勵多吃柳丁、香蕉等高鉀食物反而增加鉀負荷，屬錯誤處置，故選 D。（A）正確，Kayexalate（陽離子交換樹脂）經腸道以鈉換鉀排出體外。（B）正確，短效胰島素加葡萄糖可驅動鉀進入細胞內，同時給糖防低血糖。（C）正確，靜脈注射重碳酸鈉提升 pH，使鉀由細胞外移入細胞內。","高血鉀處置三策略對照記憶：「穩、移、排」。穩心肌—葡萄糖酸鈣（拮抗鉀對心肌的作用，不降鉀）；移入細胞—胰島素加糖、重碳酸鈉、β2 支氣管擴張劑；排出體外—Kayexalate、利尿劑、透析。重度高血鉀心電圖可見高聳 T 波、QRS 增寬乃至心室顫動。飲食衛教則反向要求限鉀（避開柳丁、香蕉、深綠蔬菜、番茄）。連結概念：鈉鉀交換樹脂、胰島素驅鉀、心電圖高聳 T 波、限鉀飲食。",[24,27,30,32,34],{"term":25,"count":26},"高血鉀處置",4,{"term":28,"count":29},"重碳酸鈉",2,{"term":31,"count":29},"限鉀飲食",{"term":33,"count":10},"Kayexalate 陽離子交換樹脂",{"term":35,"count":10},"胰島素驅鉀入細胞",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-063","有關病人因焦慮而過度通氣造成之酸鹼不平衡，下列何者正確？",63,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-108-2-medical-surgical-079","有關霍亂的症狀與治療之敘述，下列何者錯誤？",79,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-109-2-medical-surgical-013","下列何者不是大腸鏡檢查的禁忌症？",13,109,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-110-2-medical-surgical-051","下列何者不屬於第Ⅰ型過敏反應？",51,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-1-medical-surgical-015","有關口腔癌的敘述，下列何者錯誤？",15,112,{"webId":61,"stem":62,"number":63,"year":59,"session":64},"nurse-112-3-medical-surgical-049","病人體重 77 公斤，摔車導致右側大腿變形骨折，血流不止，119 緊急救護員給予緊急處理後送到急診，病人體溫 35.8℃、心跳 136 次／分、呼吸 34 次／分、血壓 80\u002F58 mmHg，皮膚冷潮濕，微血管充填時間大於 2 秒，呈現焦慮情緒。依據上述資料，病人呈現的休克種類，下列何者正確？",49,3,"2026-09-04",1788510710058]