[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-fundamental-nursing-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-3-基本護理學與護理行政-019","nurse-113-3-fundamental-nursing-019",113,3,19,"當脂肪取代醣類為身體能量的主要來源時，尿液中會出現那一種大量的物質？",{"A":15,"B":16,"C":17,"D":18},"酮體","圓柱體","蛋白質","膽紅素","A",null,[],"本題考點在於脂肪代謝異常時的尿液產物。依代謝生理，當醣類供應不足（飢餓、糖尿病、生酮飲食），身體改以脂肪為主要能量來源，脂肪酸在肝臟經 β 氧化大量分解，產生乙醯輔酶 A 超過檸檬酸循環處理量時轉為酮體（乙醯乙酸、β-羥基丁酸、丙酮），過多的酮體從尿中排出形成酮尿，故選 A。B 圓柱體（cast）是腎小管疾病時管腔內蛋白凝集物，與脂肪代謝無關。C 蛋白質出現於腎絲球受損的蛋白尿。D 膽紅素見於肝膽疾病、膽紅素代謝異常。","酮體生成機轉：胰島素不足時脂解作用增強，肝臟粒線體 β 氧化產生大量 acetyl-CoA，因草醯乙酸被用於糖質新生而不足，acetyl-CoA 轉向生酮。糖尿病酮酸中毒（DKA）即由此導致代謝性酸中毒。記「無糖可用即燒油、燒油產酮排入尿」，這也連結下一題 DKA 的庫斯毛耳呼吸考點。",[25,28,30,33],{"term":26,"count":27},"酮體生成",2,{"term":29,"count":27},"酮尿",{"term":31,"count":32},"脂肪 β 氧化",1,{"term":34,"count":32},"糖類缺乏代謝",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-fundamental-nursing-020","下列那些藥物會造成便秘？①鐵劑 ②鈣離子阻斷劑 ③抗生素 ④含鎂制酸劑 ⑤鴉片類止痛藥",20,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-fundamental-nursing-016","病人打籃球時跌倒，右側足踝處扭傷並有出血、擦傷。急診 X 光確定沒有骨折，可返家休養。離院前的護理指導內容，下列何者最適當？",16,114,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-115-1-fundamental-nursing-010","有關給藥醫囑縮寫的意義，下列何者正確？①A.U.是指雙眼            ②A.S.是指左耳   ③S.C.是指「皮下注射」    ④Q4H表示每天四次",10,115,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-106-2-fundamental-nursing-028","有關溫水坐浴治療之敘述，下列何者錯誤？",28,106,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-107-2-fundamental-nursing-072","為訓練護理師專業知識、技能，以提供病人整合性與連續性照護。設立下列何種委員會較為適合？",72,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-109-1-fundamental-nursing-026","李先生體重 60 公斤，輸血醫囑「Blood transfusion PRBC（packed RBC）2 units」，關於其輸血，下列敘述何者正確？",26,109,"2026-09-04",1788510752072]