[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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-精神科與社區衛生護理學-068","nurse-109-2-psychiatric-community-068",109,2,68,"某糖尿病學童在校發生手抖及冒冷汗現象，學校護理師測量其血糖為 55 mg\u002FdL，下列何者護理處置最適當？",{"A":14,"B":15,"C":16,"D":17},"請該學童即刻吃一個雜糧麵包","給與果汁，待 10 分鐘後再測一次血糖","通知家長並送該學童至急診就醫","因血糖仍在正常範圍內，不予處理","B",null,[],"本題考點是學童急性低血糖的處置原則。依低血糖處置的 15\u002F15 法則，血糖 55 mg\u002FdL(低於 70 mg\u002FdL)並出現手抖冒冷汗等交感興奮症狀時，應立即給予約 15 克快速吸收的糖(如果汁)，等 10～15 分鐘後再測血糖確認回升，故最適當者為 B。考點在於辨識「意識清醒的低血糖給快速糖並複測」。A「吃雜糧麵包」錯誤，全穀富含纖維、升糖慢，不適合急性低血糖的快速矯正故排除。C「送急診就醫」錯誤，意識清醒者可先口服補糖處理，並非首選直接轉送故排除。D「血糖仍正常不予處理」錯誤，55 mg\u002FdL 已達低血糖標準且有症狀，不處理將惡化故排除。因此給果汁並於 10 分鐘後複測最為適當。","低血糖 15\u002F15 法則:給 15 克快速糖(120～180 mL 果汁、3～4 顆方糖、一大匙蜂蜜)→等 15 分鐘→複測，未回升則重複。快速糖優於複合澱粉是因需即刻升糖。若意識不清或無法吞嚥，則不可由口餵食，須以肌肉注射 glucagon 或靜脈注射葡萄糖處理，這是意識狀態決定途徑的關鍵延伸考點。",[24,27,29,31],{"term":25,"count":26},"低血糖處置",1,{"term":28,"count":26},"15\u002F15法則",{"term":30,"count":26},"快速吸收糖",{"term":32,"count":26},"血糖複測",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-069","有關改善教職員不適當飲食型態的衛生教育之目的，下列何者最不適切？",69,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-psychiatric-community-005","護理師問病人：「100 減 7 是多少？」然後連續減了五個 7。這種方式除了可以評估病人的計算能力外，還可以評估下列何種能力？",5,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-psychiatric-community-019","小君，診斷為思覺失調症（Schizophrenia），可規則服藥，在大賣場工作自覺可以勝任，但近來懷疑組長挑剔她，以咳嗽暗示要她辭職。下列何者為目前最主要的護理問題？",19,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-psychiatric-community-057","根據性別工作平等法和勞動基準法，有關職場母乳哺餵之護理指導，下列何者最不適宜？",57,112,{"webId":54,"stem":55,"number":26,"year":56,"session":10},"nurse-113-2-psychiatric-community-001","蕭女士，已婚，先生因失業長期酗酒。今日因細故酒後毆打蕭女士，致頭部受創，血流不止，由警察及社工護送至急診。下列護理措施何者最優先？",113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-psychiatric-community-045","依據學校衛生法，下列何者為學校對學童常見的體格缺點或疾病，應加強預防及矯治工作？①視力不良 ②糖尿病 ③脊椎彎曲 ④肥胖 ⑤氣喘 ⑥運動傷害",45,114,"2026-09-04",1788510718467]