[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"精神科與社區衛生護理學","psychiatric-community",{"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-精神科與社區衛生護理學-019","nurse-106-1-psychiatric-community-019",106,1,19,"丁小姐使用鋰鹽治療，血中鋰鹽濃度已達到 1.2 mEq\u002FL，護理師應優先採取下列何項措施？",{"A":14,"B":15,"C":16,"D":17},"已達中毒的濃度，應立即暫停給藥","持續服用，但應密切監測血中鋰鹽濃度是否上升","通知醫師，立即減藥，以防中毒","立即停藥，並補充體液，觀察是否出現中毒症狀","B",null,[],"本題考點在鋰鹽血中濃度的治療範圍判讀。丁小姐血中鋰鹽 1.2 mEq\u002FL,仍落在治療濃度上限(一般 0.6–1.2 mEq\u002FL)之內、尚未達中毒閾值(通常 >1.5 mEq\u002FL),故應持續服用,但因已接近上限,須密切監測濃度變化,選B。A稱「已達中毒濃度立即停藥」判讀錯誤,1.2 尚屬治療範圍。C「通知醫師立即減藥」在未超標時屬過度反應,無臨床指徵。D「立即停藥並補充體液、觀察中毒症狀」是真正中毒時的處置,施用於尚在治療範圍者屬反應過度,故A、C、D皆誤判濃度。","鋰鹽治療窗極窄:維持治療濃度約 0.6–1.2 mEq\u002FL(急性期可略高),≥1.5 mEq\u002FL 出現中毒徵象,≥2.0 為嚴重中毒。1.2 恰在上限,策略是『續用但盯緊』——監測血中濃度、腎功能、水分與鈉攝取。判斷數值題的關鍵是把數字對回正常\u002F治療\u002F中毒的區間,而非看到數字偏高就急停。記憶:『鋰鹽 1.5 拉警報,超過再談停與救』。",[24,26,28,30],{"term":25,"count":10},"鋰鹽治療濃度範圍",{"term":27,"count":10},"鋰鹽中毒閾值",{"term":29,"count":10},"狹窄治療窗",{"term":31,"count":10},"血中濃度監測",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-020","丁小姐服用鋰鹽治療，護理師應注意那些鋰鹽中毒時常見的症狀？①意識障礙 ②腹瀉 ③肢體僵硬 ④眼球震顫",20,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-036","王先生 44 歲，原於山上種植咖啡，去年遭受嚴重風災導致咖啡園全毀及妻子去世之雙重打擊，下列何者為首要的照護措拖？",36,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-050","骨質疏鬆的危險因子，下列何者錯誤？",50,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-008","護理師訪視一位酒精使用障礙症病人時，鼓勵家屬參加照顧者支持性團體治療。下列敘述何者為家屬參加團體治療的主要目的？",8,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-052","依據 Anderson 和 McFarlane（2008）以社區為夥伴模式進行社區評估，下列敘述何者錯誤？",52,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-006","有關抗精神病藥物的副作用，下列敘述何者最適當？",6,111,"2026-09-04",1788510694771]