[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-113-2-內外科護理學-045","nurse-113-2-medical-surgical-045",113,2,45,"有關胰島素的使用，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"準備胰島素前 30 分鐘，將胰島素自冰箱取出，避免注射冷的胰島素","抽取混濁型的胰島素應先將藥瓶置於手掌中滾動，不可搖晃藥瓶，避免產生氣泡","胰島素推入皮下後需靜待 3～5 秒再拔出針頭，且以藥棉輕壓，切勿搓揉","皮下注射胰島素的吸收速率，上臂＞大腿＞臀部＞腹部","D",null,[],"本題考點在於胰島素注射的正確操作與皮下吸收速率的部位差異。本題為反向題，錯誤敘述為 D：皮下注射胰島素吸收由快到慢應為腹部＞上臂＞大腿＞臀部，腹部血流佳吸收最快，D 的順序「上臂＞大腿＞臀部＞腹部」錯誤，選 D。A 提前 30 分鐘回溫避免注射冰冷胰島素造成疼痛，正確；B 混濁型（中效 NPH）需手掌滾動混勻、不可劇烈搖晃以免產生氣泡，正確；C 推注後停留 3～5 秒再拔針、輕壓勿搓揉以免加速吸收，正確。","吸收速率記法：腹部最快（AAAT：Abdomen > Arm > Thigh，臀部最慢）。臨床選腹部以求吸收穩定，並輪替注射點防脂肪增生（lipohypertrophy）影響吸收。混合抽取時「先清後濁」（先抽 RI 短效再抽 NPH），避免長效污染短效瓶。運動部位吸收會加快，需注意低血糖。",[24,27,29,31],{"term":25,"count":26},"胰島素皮下吸收速率",1,{"term":28,"count":26},"腹部吸收最快",{"term":30,"count":26},"混濁型胰島素混勻",{"term":32,"count":26},"注射輪替",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-046","下列何者是副甲狀腺功能亢進的臨床表徵？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-medical-surgical-042","有關糖尿病酮酸中毒（DKA）之處置，下列何者正確？①建立靜脈輸液，由低劑量胰島素開始給與 ②最初2小時，給與0.45％生理食鹽水維持電解質平衡         ③等尿液排出量恢復正常，應補充鉀離子 ④血液pH值>7.1時，則與以重碳酸鈉（NaHCO 3）",42,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-036","有關肺栓塞病人使用 Warfarin（Coumadin ® ）治療期間之護理指導，下列敘述何者最不適當？",36,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-2-medical-surgical-004","有關出血性腦中風病人的護理措施，下列何者正確？",4,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-048","有關大面積重度燒傷初期（48 小時內）對於腎臟系統的影響，下列何者錯誤？",48,107,{"webId":59,"stem":60,"number":10,"year":61,"session":26},"nurse-109-1-medical-surgical-002","右側大腦損傷所引起的功能缺失，下列何者正確？①左側偏癱 ②空間及認知缺損 ③語言及計算能力降低 ④行動變得快及衝動",109,"2026-09-04",1788510755259]