[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-072","nurse-110-1-medical-surgical-072",110,1,72,"有關糖尿病性酮酸中毒（DKA）治療之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"處理低血糖","矯正水分過度負荷狀態","補充鈉離子","矯正血液 pH 值","D",null,[],"本題考點在於糖尿病酮酸中毒（DKA）的治療目標與病生理。DKA因胰島素嚴重不足使脂肪分解產生酮體、造成代謝性酸中毒，治療重點之一即矯正血液pH值與酸鹼失衡，故選D。選項A錯在DKA是高血糖狀態，治療是降血糖而非處理低血糖。選項B錯在DKA因高血糖滲透性利尿造成嚴重脫水與體液不足，治療須大量補液矯正脫水，而非矯正水分過度負荷。選項C錯在治療須留意補充鉀離子（隨胰島素治療血鉀下降），而非鈉離子為要，故敘述焦點錯誤。故治療目標正確者為D。","DKA三本柱治療：補液（生理食鹽水矯正脫水與循環）、胰島素（靜脈持續輸注降血糖並抑制酮體生成）、補鉀（治療前血鉀常偏高但總體鉀缺乏，胰島素會把鉀推入細胞致血鉀驟降，須監測補充）。酸鹼矯正主要靠抑制酮體生成，重碳酸鹽僅在嚴重酸血症（pH極低）謹慎使用。監測陰離子間隙與血酮。與高血糖高滲透狀態（HHS）對比：HHS酮體不明顯、滲透壓更高。可連結：胰島素缺乏、酮體、補鉀監測、陰離子間隙。",[24,27,30,32],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":29},"糖尿病酮酸中毒",8,{"term":31,"count":10},"補液與補鉀",{"term":33,"count":10},"胰島素治療",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-medical-surgical-073","有關糖尿病足之護理指導，下列何者正確？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-1-medical-surgical-009","有關腸阻塞的臨床表徵，下列何者正確？①嘔吐 ②腹脹 ③腹部絞痛 ④腹瀉",9,111,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-111-2-medical-surgical-023","有關美尼爾氏症候群（Meniere’s disease）病人的護理指導，下列何者錯誤？",23,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-112-2-medical-surgical-061","有關慢性腎絲球腎炎之敘述，下列何者正確？①肌酸酐清除率（CCr.）數值異常上升 ②血尿素氮及血肌酸酐的數值會異常升高 ③可由經皮腎臟組織切片檢查早期確診 ④腎皮質變厚及腎臟變大",61,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-medical-surgical-035","有關肺結核病人的出院護理指導，下列何者正確？",35,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-1-medical-surgical-029","吳太太因腫瘤接受化學治療，口腔出現疱疹性齒齦口腔炎（herpetic gingivostomatitis），下列敘述何者正確？",29,115,"2026-09-04",1788510721470]