[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-1-內外科護理學-069","nurse-109-1-medical-surgical-069",109,1,69,"有關重症病人常發生高血糖狀態，下列何者為最可能之原因？",{"A":14,"B":15,"C":16,"D":17},"住院期間發現糖尿病","胰島素分泌不足","因應壓力產生糖質新生作用","運動量減少","C",null,[],"本題考點為重症病人壓力性高血糖的機轉。重症或急性壓力下,交感神經興奮與升糖素、皮質醇、腎上腺素等壓力荷爾蒙上升,促進肝臟糖質新生(gluconeogenesis)與肝醣分解,並造成胰島素阻抗,使血糖升高,故最可能原因為因應壓力產生糖質新生,選C。A住院期間新診斷糖尿病並非重症高血糖最普遍主因;B胰島素分泌不足描述的是既有糖尿病病理;D運動量減少影響有限,均非重症壓力性高血糖的核心機轉,故正確者為C。","壓力性高血糖由「反調節荷爾蒙」(cortisol、glucagon、catecholamine、生長激素)驅動糖質新生與胰島素阻抗,屬身體應激反應。重症病人血糖控制(避免過高與過低)與預後相關,目標值採較寬鬆(約140~180 mg\u002FdL)以避免低血糖。此與既有糖尿病的胰島素缺乏機轉不同。",[24,27,29,31],{"term":25,"count":26},"糖質新生",5,{"term":28,"count":26},"胰島素阻抗",{"term":30,"count":10},"壓力性高血糖",{"term":32,"count":10},"反調節荷爾蒙",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-070","有關格雷氏病（Grave’s disease）之敘述，下列何者正確？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-medical-surgical-006","協助昏迷病人由側臥翻成平躺時，須注意下列那一個部位是否有壓傷形成？",6,110,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-110-2-medical-surgical-020","有關痛風性關節炎病人的護理指導，下列何者正確？",20,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-111-2-medical-surgical-058","有關急性呼吸窘迫症候群（ARDS）病生理變化的敘述，下列何者正確？",58,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-medical-surgical-022","有關冠狀動脈繞道手術後護理，下列敘述何者錯誤？",22,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-medical-surgical-016","進行心臟復健時如出現活動耐力不足時應停止，下列何者不是其判斷依據？",16,114,"2026-09-04",1788510712936]