[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-1-內外科護理學-071","nurse-110-1-medical-surgical-071",110,1,71,"有關糖化血色素（HbA1c）檢查之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"可取代口服葡萄糖耐量試驗（OGTT）、血糖及尿糖的監測","用來評估缺鐵性貧血的控制成效","HbA1c 值在 13%以下表示糖尿病控制良好","可作為糖尿病的診斷標準之一","D",null,[],"本題考點在於糖化血色素（HbA1c）的臨床用途。HbA1c反映近2至3個月平均血糖，依診斷準則HbA1c≥6.5%可作為糖尿病診斷標準之一，故選D。選項A錯在HbA1c反映長期平均血糖，無法取代口服葡萄糖耐量試驗、即時血糖與尿糖監測，各有不同時間尺度與用途。選項B錯在HbA1c用於評估血糖控制，與缺鐵性貧血的控制成效無關，且缺鐵狀態反可能干擾其數值。選項C錯在HbA1c 13%代表血糖控制極差，一般良好控制目標多在7%以下，故該敘述判讀相反。故敘述正確者為D。","HbA1c原理：血糖與血紅素非酵素性糖化，紅血球壽命約120天，故反映近2–3個月平均血糖。診斷閾值記憶：空腹血糖≥126、隨機血糖≥200＋症狀、OGTT 2小時≥200、HbA1c≥6.5%，任一符合可診斷。控制目標一般＜7%（個別化）。干擾因素：影響紅血球壽命的狀況（貧血、溶血、近期輸血、血紅素變異）會使結果失真，這也是與即時血糖互補的原因。可連結：口服葡萄糖耐量試驗、空腹血糖、紅血球壽命、糖尿病診斷準則。",[24,27,29,31],{"term":25,"count":26},"糖化血色素",3,{"term":28,"count":26},"平均血糖",{"term":30,"count":26},"紅血球壽命",{"term":32,"count":33},"糖尿病診斷標準",2,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-072","有關糖尿病性酮酸中毒（DKA）治療之敘述，下列何者正確？",72,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-medical-surgical-008","有關脊髓損傷導致「自主神經反射過度」的敘述，下列何者正確？",8,111,{"webId":45,"stem":46,"number":47,"year":43,"session":33},"nurse-111-2-medical-surgical-022","有關白內障的晶體乳化法手術的敘述，下列何者錯誤？",22,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-112-2-medical-surgical-060","有關前列腺癌之敘述，下列何者錯誤？",60,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-3-medical-surgical-034","有關胸腔穿刺放液術檢查前之護理措施，下列何者最適當？",34,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-medical-surgical-028","長期臥床病人採仰臥姿勢時，下列何者是皮膚壓力性損傷較不常發生的部位？",28,115,"2026-09-04",1788510721466]