[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-110-2-內外科護理學-060","nurse-110-2-medical-surgical-060",110,2,60,"急性腎衰竭病人血清鉀為 7.2 mEq\u002FL，下列處置何者正確？①靜脈注射中長效胰島素及 5%葡萄糖溶液 ②口服或灌腸給予 Kayexalate ③靜脈注射重碳酸鈉 ④鼓勵多食用香蕉、柳丁",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","C",null,[],"本題考點在高血鉀(K⁺ 7.2 mEq\u002FL)的緊急處置。有效降鉀方式包括口服或灌腸給予Kayexalate(離子交換樹脂,經腸道排鉀,②)與靜脈注射重碳酸鈉(使鉀離子暫移入細胞內,③),故②③正確,選C。選項①的胰島素併葡萄糖雖可降鉀,但須用短效(regular)胰島素快速起效,題目寫中長效胰島素並不適當;選項④鼓勵多食香蕉、柳丁等高鉀食物反而升高血鉀,與治療目標相反,故均非正解。","高血鉀處置分三路:第一穩定心肌,靜脈注射葡萄糖酸鈣對抗鉀的心臟毒性;第二把鉀移入細胞內(暫時),短效胰島素加葡萄糖、重碳酸鈉、β2作用劑;第三把鉀排出體外(根本),Kayexalate、利尿劑、透析。記憶:移入細胞是爭取時間,真正排除靠腸道樹脂或透析。心電圖警訊:T波高尖、PR延長、QRS增寬,須緊急介入。",[24,27,30,32,35],{"term":25,"count":26},"急性腎衰竭",8,{"term":28,"count":29},"高血鉀",7,{"term":31,"count":10},"重碳酸鈉",{"term":33,"count":34},"Kayexalate",1,{"term":36,"count":34},"短效胰島素",[38,42,47,52,57,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-medical-surgical-061","有關急性腎絲球腎炎的敘述，下列何者錯誤？",61,{"webId":43,"stem":44,"number":45,"year":46,"session":34},"nurse-111-1-medical-surgical-077","下列何種情況最可能引發神經性休克？",77,111,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-112-1-medical-surgical-011","有關升結腸造瘻的敘述，下列何者正確？",11,112,{"webId":53,"stem":54,"number":55,"year":51,"session":56},"nurse-112-3-medical-surgical-049","病人體重 77 公斤，摔車導致右側大腿變形骨折，血流不止，119 緊急救護員給予緊急處理後送到急診，病人體溫 35.8℃、心跳 136 次／分、呼吸 34 次／分、血壓 80\u002F58 mmHg，皮膚冷潮濕，微血管充填時間大於 2 秒，呈現焦慮情緒。依據上述資料，病人呈現的休克種類，下列何者正確？",49,3,{"webId":58,"stem":59,"number":56,"year":60,"session":10},"nurse-114-2-medical-surgical-003","下列何者不是肝硬化病人發生肝性腦病變的主要誘發因子？",114,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-115-2-medical-surgical-047","有關糖化血色素（HbA1c）檢查之敘述，下列何者錯誤？",47,115,"2026-09-04",1788510729349]