[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-106-2-產兒科護理學-039","nurse-106-2-maternal-pediatric-039",106,2,39,"晚期子宮頸癌病人接受放射線治療及 Cisplatin 化學治療後感覺耳鳴及聽力喪失，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"教導病人使用手套或圍巾避免冷的刺激","嚴重時需降低化學治療藥物劑量","此症狀為放射線治療導致細胞 DNA 鍵斷裂","此症狀為因化學治療而引起的周邊神經性病變","C",null,[],"本題考點為Cisplatin(順鉑)耳毒性副作用的辨識,屬找錯誤題。耳鳴與聽力喪失是Cisplatin典型的「耳毒性(ototoxicity)」與神經毒性表現,並非放射線治療所致,故C「此症狀為放射線導致細胞DNA鍵斷裂」錯誤為答案。A對神經病變者教導以手套圍巾避免冷刺激,屬合理保護;B症狀嚴重時需依醫囑降低化療劑量,正確;D此症狀屬化療引起的神經毒性(耳與周邊神經)病變,正確。判準為區分「化療藥物耳毒性」與「放射線DNA損傷」兩種機轉。","Cisplatin三大毒性:腎毒性(需水化利尿)、耳毒性(高頻聽力先受損、耳鳴,多不可逆)、周邊神經病變(手套襪套式感覺異常),治療前後應監測聽力。放射線作用機轉為使DNA雙股斷裂(直接與經自由基間接),屬局部腫瘤控制,與全身性耳毒性無關。口訣:順鉑傷腎、傷耳、傷神經。",[24,27,29,31],{"term":25,"count":26},"Cisplatin耳毒性",1,{"term":28,"count":26},"周邊神經病變",{"term":30,"count":26},"放射線DNA斷裂",{"term":32,"count":26},"化療副作用",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-040","有關陰道正常分泌物的敘述，下列何者錯誤？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-056","臺灣少子化問題日趨嚴重，因此提升出生率及降低嬰兒死亡率為政府的重要目標，下列那項措施無助於達到上述目標？",56,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-maternal-pediatric-070","兒童的呼吸道系統由於尚未完全發展成熟，而與成人有差異，下列何者正確？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-1-maternal-pediatric-028","下列何者為新生兒黃疸照光治療的原理？",28,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-1-maternal-pediatric-072","有關早產兒呼吸窘迫症候群的護理措施，下列敘述何者正確？",72,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-maternal-pediatric-026","齊女士，月經週期規律，擬以安全期法避孕，下列護理師的指導何者正確？",26,111,"2026-09-04",1788510699413]