[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-2-內外科護理學-071","nurse-109-2-medical-surgical-071",109,2,71,"有關低血糖的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常因急性感染或重大壓力所致","易發生在餐後或胰島素作用的高峰時間","與糖尿病酮酸中毒相比，其危險性較低","可能出現出汗、震顫、心跳過快","D",null,[],"本題考點是低血糖的臨床表現與危險性。血糖過低會觸發交感神經活化，釋放腎上腺素，引發出汗、震顫、心跳過快等自主神經症狀，故選項D正確。選項A錯在急性感染或重大壓力會使壓力荷爾蒙上升造成「高血糖」而非低血糖；選項B錯在低血糖多發生於胰島素作用高峰而「進食延遲或未進食」時，而非餐後，餐後血糖通常上升；選項C錯在低血糖可在短時間內造成腦部損傷甚至死亡，其急性危險性「高於」糖尿病酮酸中毒，並非較低。故正解為D。","低血糖症狀分兩階段記憶：早期是交感神經（腎上腺素）警訊—心悸、冒冷汗、發抖、飢餓、焦慮；若血糖續降則進入中樞神經葡萄糖缺乏（neuroglycopenia）—意識混亂、言語不清、抽搐、昏迷。因大腦幾乎只靠葡萄糖供能，故低血糖比高血糖更需立即處理，口訣『15法則』：清醒者給15克快速醣、15分鐘後複測。特別警覺：長期糖尿病或使用β受體阻斷劑者可能無自覺症狀（hypoglycemia unawareness）而直接昏迷。與DKA對比，DKA進展以小時計、低血糖可以分鐘計，故救急優先度更高。",[24,27,29,31],{"term":25,"count":26},"低血糖",1,{"term":28,"count":26},"交感神經活化",{"term":30,"count":26},"腎上腺素",{"term":32,"count":26},"中樞神經葡萄糖缺乏",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-medical-surgical-072","有關糖尿病的敘述，下列何者正確？",72,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-medical-surgical-008","有關顱內壓升高（IICP）的護理措施，下列何者正確？",8,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-medical-surgical-022","有關青光眼病人之護理措施，下列何者正確？",22,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-medical-surgical-060","有關泌尿道感染病人應多攝取之酸灰性食物，下列何者錯誤？",60,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-medical-surgical-004","當顱內出血病人發生顱內壓升高時，顱內開始代償顱內壓的機制，下列敘述何者正確？",4,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-medical-surgical-048","下列何者不是腸病毒 71 型病人併發重症的前兆？",48,114,"2026-09-04",1788510716959]