[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-108-2-內外科護理學-067","nurse-108-2-medical-surgical-067",108,2,67,"有關糖尿病酮酸中毒（DKA）之處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"建立靜脈輸液，給予 0.9%生理食鹽水","皮下注射大劑量短效胰島素","當血糖降至 300 mg\u002FdL，應補充葡萄糖溶液","監測血中鉀離子濃度變化","B",null,[],"本題考點為糖尿病酮酸中毒(DKA)的急性處置原則，須找出錯誤者。DKA 的胰島素治療原則是持續靜脈輸注「小劑量」短效(regular)胰島素以平穩降糖、避免血糖與電解質劇烈波動，故「皮下注射大劑量短效胰島素」錯誤，選 B。選項 A 建立靜脈管路先給 0.9% 生理食鹽水補充脫水與循環容積，是 DKA 首要處置，正確。選項 C 當血糖降至約 250～300 mg\u002FdL 時加入含葡萄糖溶液，可持續給胰島素清除酮體又避免低血糖，正確。選項 D 監測血鉀是因胰島素會把鉀帶入細胞內致低血鉀，必須密切追蹤，正確。故錯在給藥途徑與劑量。","DKA 三支柱：補液(先 0.9% NS)、靜脈小劑量胰島素持續輸注、監測與補充電解質(尤其鉀)。開始治療前若血鉀偏低須先補鉀再給胰島素，以免致命性低血鉀。血糖降太快恐腦水腫，故降至 250-300 加葡萄糖並續打胰島素清酮。皮下大劑量吸收不穩、降糖不可控，故 DKA 用靜脈。判題抓「途徑(靜脈非皮下)+劑量(小非大)」。",[24,27,30,32,34],{"term":25,"count":26},"糖尿病酮酸中毒 DKA",3,{"term":28,"count":29},"靜脈小劑量胰島素",1,{"term":31,"count":29},"生理食鹽水補液",{"term":33,"count":29},"血鉀監測",{"term":35,"count":29},"加葡萄糖時機",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-medical-surgical-068","下列何種內分泌機能低下會造成黏液性水腫？",68,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-109-2-medical-surgical-004","有關顱內腫瘤壓迫對視覺的影響，下列何者錯誤？",4,109,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",18,110,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-111-1-medical-surgical-056","照護右上肺葉肺炎病人之護理措施，下列何者不適當？",56,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-medical-surgical-020","有關接受關節腔鏡檢查病人的陳述，下列何者顯示需要進一步的護理指導？",20,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-medical-surgical-034","王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",34,113,"2026-09-04",1788510706759]