[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fVp-22q6mPUA8XTTddbH7Wz0tMNdjX0TLZYDUJll1HKI":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":32,"type":33},[],"2025-05-21 11:24:17",189584491,[8,9,10,11,12],"低血糖昏迷","糖尿病酮症酸中毒","乳酸性酸中毒","高渗性非酮症糖尿病昏迷","脑出血",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},50,"241f6145e323f308da3a762f59216bb8","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002Fbe6a0ccc0b9345f9c2441dd8fc6e0c1d.jpeg","内科护理学","work_43027991","6.3糖尿病病人的护理","患者,女性,60岁,患糖尿病5年,平常不规则服药,血糖波动在8. 5~10. 8mmol\u002FL,尿糖++~+++,今日感尿频、尿痛,昨日起突然出现神志不清,查血糖28mmol\u002FL,尿素氮7.8mmol\u002FL,血钠148mmol\u002FL,尿糖+++,酮体++,应考虑( )",[22,34,44,54,63,73,83,93,96,106],{"answer":23,"createTime":5,"id":24,"options":25,"question":31,"source":32,"type":33},[],189584464,[26,27,28,29,30],"低血糖","急性胃肠炎","急性脑炎","酮症酸中毒昏迷","高渗性非酮症中毒","患者,女性,45岁,有糖尿病史8年,昨日因高热、咳嗽后突然感到极度口渴、厌食、恶心、呕吐2次,均为胃内容物,呼吸深快,晚上出现脉细速、血压下降,随即意识不清.患者可能合并了( )","v1",0,{"answer":35,"createTime":5,"id":36,"options":37,"question":43,"source":32,"type":33},[],189584468,[38,39,40,41,42],"静脉滴注碱性液体","静脉滴注葡萄糖","静脉滴注胰岛素","静脉应用呼吸兴奋剂","加大口服降糖药","患者,女性,45岁,有糖尿病史8年,昨日因高热、咳嗽后突然感到极度口渴、厌食、恶心、呕吐2次,均为胃内容物,呼吸深快,晚上出现脉细速、血压下降,随即意识不清.此时应立即给予( )",{"answer":45,"createTime":5,"id":46,"options":47,"question":53,"source":32,"type":33},[],189584471,[48,49,50,51,52],"10%~20%","30%~40%","50%~60%","70%~80%","80%~90%","患者,男性,45岁,身高162cm,体重86kg,临床征实患2型糖尿病2年余.在饮食指导中,其饮食中糖类占总热量的比例为( )",{"answer":55,"createTime":5,"id":56,"options":57,"question":62,"source":32,"type":33},[],189584474,[58,59,60,40,61],"减少主食量","接受运动疗法","测血酮和尿酮","迅速补液","患者,男性,45岁,身高162cm,体重86kg,临床征实患2型糖尿病2年余.在饮食控制、口服降糖药后,病情控制并不理想,宜建议患者( )",{"answer":64,"createTime":5,"id":65,"options":66,"question":72,"source":32,"type":33},[],189584478,[67,68,69,70,71],"已经开封正在使用的胰岛素,宜放在室温(不超过28℃)下保存","注射部应经常更换","速效和长效胰岛素合用时应先抽吸长效胰岛素,后抽吸速效胰岛素","经常监测皿糖变化,如持续高血糖或血糖波动大,应及时通知医生","剂量必须准确","患者,男性,45岁,身高162cm,体重86kg,临床征实患2型糖尿病2年余.如患者采用胰岛素治疗,下列哪项措施不正确( )",{"answer":74,"createTime":5,"id":75,"options":76,"question":82,"source":32,"type":33},[],189584482,[77,78,79,80,81],"关键在于控制总热量","严格定时进食","少食含纤维素的食物","每周定期测体重1次","严格限制甜食","内分泌科的刘护士正在对一糖尿病患者的饮食进行指导,以下哪项是错误的( )",{"answer":84,"createTime":5,"id":85,"options":86,"question":92,"source":32,"type":33},[],189584486,[87,88,89,90,91],"加强足部观察与检查","选取质地柔软、宽松合适、穿着舒适的鞋袜","小心剪趾甲","寒冷季节,静坐时宜盘腿而坐,以利局部肢体保暖","保持足部清洁、干燥","患者,男性,66岁,因患2型糖尿病9年,近半年出现双下肢感觉麻木.在对患者进行足部的护理措施中,下列哪项是错误的( )",{"answer":94,"createTime":5,"id":6,"options":95,"question":20,"source":32,"type":33},[],[8,9,10,11,12],{"answer":97,"createTime":5,"id":98,"options":99,"question":105,"source":32,"type":33},[],189584496,[100,101,102,103,104],"低血糖反应","酮症酸中毒","非酮症性高渗性昏迷","糖尿病肾病","急性心力衰竭","患者,男性,58岁,患2型糖尿病5年.晨练时出现疲乏、强烈饥饿感、出汗、脉速、恶心、呕吐,随即陷入昏迷.旁人见状后呼&quot;120&quot;急救.该患者可能出现了( )",{"answer":107,"createTime":5,"id":108,"options":109,"question":115,"source":32,"type":33},[],189584502,[110,111,112,113,114],"饮食治疗","控制体重","运动治疗","胰岛素治疗","口服降糖药","患儿,男性,10岁,近1年来多饮、多尿、多食,体重下降3.2kg,被诊断为1型糖尿病,其治疗的关键是( )"]