[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-075":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-110-1-內外科護理學-075","nurse-110-1-medical-surgical-075",110,1,75,"承上題，下列處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"口服陽離子交換樹脂（Kalmate）","靜脈注射正規胰島素（RI）及高張性葡萄糖液（D50W）","補充 0.3%氯化鈉溶液","緊急血液透析並持續監測心電圖變化","C",null,[],"本題考點延續前題，聚焦高血鉀合併代謝性酸中毒的緊急處置。此病人血鉀顯著升高，須降鉀與矯正酸中毒，補充0.3%氯化鈉為低張溶液，對高血鉀急症並無矯正作用，屬不適當處置，故選C為錯誤者。選項A正確，口服陽離子交換樹脂可經腸道結合排出鉀離子。選項B正確，靜脈注射正規胰島素併高張葡萄糖可將鉀離子驅入細胞內暫時降血鉀。選項D正確，緊急血液透析能有效移除鉀離子並須持續監測心電圖觀察高血鉀心律變化。故不適當的處置為補充0.3%氯化鈉溶液C。","高血鉀急救策略分三軸記憶：一穩定心肌（葡萄糖酸鈣，拮抗鉀對心肌毒性但不降鉀）；二把鉀趕進細胞（胰島素＋葡萄糖、β2致效劑、必要時碳酸氫鈉）；三把鉀排出體外（陽離子交換樹脂、利尿劑、血液透析為根本）。心電圖警訊：高尖T波、PR延長、QRS增寬，須持續監測避免心室顫動。0.3%氯化鈉屬低張補水液，與降鉀無關且對此情境無益。可連結：葡萄糖酸鈣、心電圖高尖T波、陽離子交換樹脂、緊急透析。",[24,27,29,31],{"term":25,"count":26},"高血鉀處置",4,{"term":28,"count":10},"胰島素驅鉀",{"term":30,"count":10},"陽離子交換樹脂",{"term":32,"count":10},"緊急血液透析",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-medical-surgical-076","有關第一期心腦肺甦醒術（cardiopulmonary cerebral resuscitation; CPCR）的執行步驟，下列何者最優先？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-medical-surgical-012","下列何者不是食道癌常見的臨床表徵？",12,111,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-111-2-medical-surgical-026","86 歲男性，長期高血壓，近日經醫師診斷為主動脈瓣狹窄，醫師建議更換心臟瓣膜，有關瓣膜選擇與抗凝劑使用的敘述，下列何者正確？",26,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-112-2-medical-surgical-064","下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",64,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-medical-surgical-038","有關腹膜透析治療之敘述，下列何者正確？",38,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-medical-surgical-032","王先生剛接受支氣管鏡檢查後返回病室，下列護理措施何者最適當？",32,115,"2026-09-04",1788510721498]