[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-111-1-內外科護理學-074","nurse-111-1-medical-surgical-074",111,1,74,"有關糖尿病酮酸中毒（DKA）與高滲透壓高血糖狀態（HHS）之臨床處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"HHS 需補充的水分較少","HHS 需要較多的胰島素治療","HHS 較 DKA 更需補充重碳酸鈉","HHS 不需要補充鉀離子","B",null,[],"本題考點是糖尿病酮酸中毒(DKA)與高滲透壓高血糖狀態(HHS)的處置比較,以刪去法判讀。A『HHS需補水較少』錯誤,HHS脫水更嚴重、缺水量更大,需補更多液體。C『HHS較DKA更需重碳酸鈉』錯誤,酸血症在DKA,重碳酸鈉主要用於嚴重DKA。D『HHS不需補鉀』錯誤,兩者於胰島素治療後鉀皆移入細胞、須補鉀。三者皆誤,故正解為B『HHS需較多胰島素治療』——HHS血糖常遠高於DKA(可達600–1000mg\u002FdL以上),須足量胰島素才能降至目標,選B。","DKA vs HHS核心對比:DKA多見於第1型、有明顯酮酸血症(pH↓、陰離子間隙↑),血糖約300–600;HHS多見於第2型老年、無顯著酮酸、但血糖極高、血漿滲透壓極高、脫水與意識障礙更重。共同處置三支柱:①大量輸液(HHS缺水量更大)、②靜脈胰島素、③補鉀(胰島素會驅鉀入細胞,血鉀正常或偏低即須補)。重碳酸鈉僅保留給嚴重酸中毒(pH\u003C6.9)的DKA。此題以『排除三個明顯錯誤』鎖定B最穩妥;至於B的絕對強度雖可再討論,但在四選項中為唯一站得住的敘述。",[24,26,28,30],{"term":25,"count":10},"DKA與HHS比較",{"term":27,"count":10},"HHS脫水更嚴重需大量輸液",{"term":29,"count":10},"補鉀原則",{"term":31,"count":10},"重碳酸鈉適應症",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-medical-surgical-075","有關使用 Spironolactone（Aldactone）藥物指導之敘述，下列何者正確？①須注意鉀離子濃度 ②須注意鎂離子濃度 ③鼓勵多食用柑橘類食物 ④不宜食用芭樂",75,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"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":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-2-medical-surgical-025","有關心內膜炎周邊症狀之敘述，下列何者錯誤？",25,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-113-2-medical-surgical-043","下列何者是與糖尿病小血管病變有關的慢性合併症？①足部神經麻木 ②糖尿病腎病變 ③心肌梗塞 ④腦血管梗塞",43,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-medical-surgical-047","病人誤食含有機磷成分的巴拉松農藥，導致噁心、嘔吐、淚流不止、口水跟痰液很多，送入急診，下列敘述何者最適當？",47,114,3,{"webId":59,"stem":60,"number":40,"year":61,"session":46},"nurse-106-2-medical-surgical-011","下列何者顯示結腸造口病人可能有貧血現象？",106,"2026-09-04",1788510735244]