[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-068","nurse-108-1-medical-surgical-068",108,1,68,"有關糖尿病病人運動之護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胰島素作用高峰時，是最佳的運動時間","腿部剛注射胰島素後，避免立即跑步運動","運動方式儘量採急速變化，以達運動效果","血糖超過 300 mg\u002FdL 時，應延長運動時間","B",null,[],"本題考點在於糖尿病病人運動時的低血糖預防。胰島素注射後肢體運動會加速該部位血流與胰島素吸收，若腿部剛注射後立即跑步，吸收加快易誘發運動性低血糖，故應避免，選 B。（A）錯在胰島素作用高峰時血糖最低，此時運動會疊加降糖效果、增加低血糖風險，並非最佳運動時間。（C）錯在運動應規律、漸進、穩定，急速變化的方式易造成血糖與心血管負荷波動，不利控制。（D）錯在血糖超過 300 mg\u002FdL 常伴胰島素不足與酮體風險，此時運動反而可能升高血糖並誘發酮酸中毒，不宜延長運動。","運動促糖攝取機轉：肌肉收縮使 GLUT4 轉位、獨立於胰島素地增加葡萄糖利用，加上注射部位血流增加使胰島素吸收更快，兩者疊加放大降糖效應。安全原則口訣：「避高峰、選餐後、勿打腿後跑、糖太高（>250–300 且有酮體）先別動、隨身備糖」。運動宜規律有氧、餐後 1 小時左右、選腹部注射並避開待運動肢體。連結概念：胰島素吸收速率、GLUT4 轉位、運動性低血糖、酮酸中毒禁忌。",[24,27,29,31,33],{"term":25,"count":26},"糖尿病運動指導",2,{"term":28,"count":10},"胰島素吸收加速",{"term":30,"count":10},"運動性低血糖",{"term":32,"count":10},"注射部位選擇",{"term":34,"count":10},"高血糖運動禁忌",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-069","下列何者可評估糖尿病病人過去 3 個月的血糖控制情形？",69,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-1-medical-surgical-005","指導重症肌無力病人之護理措施，下列何者錯誤？",5,109,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-109-2-medical-surgical-019","下列何者為退化性關節炎的高危險群？①BMI 35 kg\u002Fm 2 ②長期服用腎上腺皮質類固醇 ③重複性右膝受傷史 ④停經後婦女",19,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-110-2-medical-surgical-057","有關人體酸鹼平衡的敘述，下列何者正確？",57,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-1-medical-surgical-021","白內障可能出現的症狀，下列何者正確？① 眼睛痛 ②眼睛紅 ③視力模糊 ④瞳孔變灰或白色",21,112,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-113-1-medical-surgical-005","有關癲癇藥物Dilantin的敘述，下列何者正確？",113,"2026-09-04",1788510710101]