[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-106-1-產兒科護理學-070","nurse-106-1-maternal-pediatric-070",106,1,70,"有關化學治療藥物的副作用與護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"Cyclophosphamide（Cytoxan）易造成聽神經毒性，因此需監測聽覺功能","Cisplatin（Platinol）易造成出血性膀胱炎，應鼓勵病童多喝水","Methotrexate（MTX）易造成心臟毒性，因此需監測心臟功能","Vincristine（Oncovin）易造成便秘，應視需要依醫囑使用軟便劑","D",null,[],"本題考點為常見化療藥物的特徵性副作用配對。依藥理毒性,Vincristine(Oncovin)為長春花生物鹼,抑制微管造成神經毒性,常見便秘、周邊神經病變甚至麻痺性腸阻塞,故依醫囑使用軟便劑正確,D對。A錯:Cyclophosphamide的代謝物acrolein造成的是出血性膀胱炎而非聽神經毒性。B錯:Cisplatin以腎毒性與耳毒性著稱,出血性膀胱炎並非其代表。C錯:Methotrexate主要為肝毒性、黏膜炎與骨髓抑制,心臟毒性則屬anthracycline類(如doxorubicin),配對錯置。","記憶配對:Cyclophosphamide造成出血性膀胱炎(多喝水、給Mesna解毒);Cisplatin造成腎與耳毒性(水化、監測聽力);MTX傷肝腎黏膜骨髓(給亞葉酸解救);Vincristine造成神經毒性便秘(顧腸道);Doxorubicin造成心臟毒性(監測心功能、有累積劑量上限)。本題把毒性張冠李戴,辨識各藥的招牌毒性即可破解。",[24,26,28,30],{"term":25,"count":10},"Vincristine神經毒性",{"term":27,"count":10},"Cyclophosphamide出血性膀胱炎",{"term":29,"count":10},"Cisplatin耳腎毒性",{"term":31,"count":10},"化療藥物副作用",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-maternal-pediatric-071","有關接受 Port-A 導管植入病童的護理措施，下列敘述何者錯誤？",71,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-107-1-maternal-pediatric-007","有關拉梅茲生產預備與訓練之原理，下列何者錯誤？",7,107,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-107-2-maternal-pediatric-021","陰道生產剛結束的婦女若有尿瀦留的現象，最主要的原因為何？",21,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-maternal-pediatric-059","有關早產兒視網膜病變，下列敘述何者正確？",59,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-023","有關母乳哺餵對母親的影響，下列護理指導何者正確？",23,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-057","有關早產兒呼吸窘迫症候群的醫療處置，下列何者錯誤？",57,111,"2026-09-04",1788510694385]