[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-044","nurse-113-1-medical-surgical-044",113,1,44,"有關雙胍類降血糖藥物metformin（Glucophage®）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"減少肝臟葡萄糖的輸出，以降低空腹血糖","最好與食物一起服用，或飯後馬上服用","易出現胃腸道刺激及引發維生素B6缺乏","腎功能不良的病人需要小心使用","C",null,[],"本題考點在於雙胍類降血糖藥metformin的藥理與副作用,屬反向題,須找出錯誤者。Metformin主要降低肝臟糖質新生與葡萄糖輸出、並增加胰島素敏感性;其常見副作用是腸胃道刺激與長期使用致維生素B12(非B6)缺乏,故C的「維生素B6缺乏」錯誤。A正確,減少肝糖輸出以降空腹血糖;B正確,隨餐或飯後服用可減輕腸胃不適;D正確,腎功能不良者因乳酸堆積風險增加,須小心使用或禁用。","Metformin最嚴重的罕見副作用是乳酸中毒(lactic acidosis),故腎功能不全、顯影劑檢查前後、缺氧狀態需暫停。長期使用會影響迴腸對維生素B12的吸收,建議定期監測。記憶:metformin不刺激胰島素分泌故單用不易低血糖,是第2型糖尿病第一線用藥。",[24,27,29,31],{"term":25,"count":26},"維生素B12缺乏",2,{"term":28,"count":10},"metformin",{"term":30,"count":10},"肝糖質新生",{"term":32,"count":10},"乳酸中毒",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-045","張太太，罹患糖尿病2年，平日使用口服抗血糖藥物控制血糖，今日在家昏倒被送至急診，醫師初步診斷為高滲透壓高血糖狀態（HHS），病人會呈現的徵象，下列何者正確？①呼吸速率26次／分 ②血壓166\u002F84 mmHg ③尿酮呈陽性反應，明顯升高 ④血糖為750 mg\u002FdL。",45,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-medical-surgical-041","有關腎臟癌的臨床表徵，下列何者錯誤？",41,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-medical-surgical-035","以脈搏血氧測量儀（pulse oximetry）所測得的數值，下列何者表示組織氧合（oxygenation）正常？",35,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-033","病人下肢出現腫脹、發紅、溫熱感且霍曼氏徵象（Homan’s Sign）呈陽性反應，下列何者為其最有可能的診斷？",33,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-077","劉小弟 13 歲，至海邊戲水不慎發生溺水，到達急診時體溫：34℃、心跳：102 次\u002F分、呼吸：32 次\u002F分、血壓：80\u002F60 mmHg，呼吸音出現瀰漫性水泡音，胸部 X 光呈現肺水腫。依據上述資料，以臺灣急診檢傷急迫度分級量表（TTAS）判斷病人目前溺水之嚴重程度，下列何者正確？",77,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-medical-surgical-031","有關干擾素治療之敘述，下列何者正確？",31,108,"2026-09-04",1788510750594]