[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"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-內外科護理學-027","nurse-106-2-medical-surgical-027",106,2,27,"毛地黃中毒最常出現的症狀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"噁心嘔吐","視力模糊","房室傳導阻礙（A-V block）","心搏過慢","D","第27題除未作答者不給分外，其餘均給分",[],"本題考點在毛地黃(digoxin)的藥理作用與中毒表現。依其機轉,毛地黃抑制心肌Na+-K+-ATPase使收縮力增強,同時增強迷走神經張力、抑制房室結傳導與竇房結放電,故會使心跳減慢;這也是給藥前需測心尖脈、脈搏低於60次\u002F分即應停藥的原因,答案為D 心搏過慢。A 噁心嘔吐雖為常見早期腸胃症狀、B 視力模糊(黃綠視)、C 房室傳導阻礙亦可見,但就本題以毛地黃降低心率的核心藥理機轉判定,以心搏過慢為答。","機轉整理:毛地黃=正性肌力(收縮更強)+負性頻率\u002F傳導(心跳更慢、房室傳導變慢)。中毒可出現幾乎任何心律不整,但典型偏向緩脈與傳導阻滯;腸胃症狀(厭食、噁心)常為最早期全身表現,黃綠視為特徵性。給藥安全鐵則:測心尖脈滿1分鐘,成人\u003C60暫停並通報;低血鉀會加重毒性(併用利尿劑要警覺)。記憶:毛地黃「力強、跳慢」,故中毒方向是心跳往下掉。本題「最常出現」在腸胃與心臟間有討論空間,故標medium。",[24,27,29,31],{"term":25,"count":26},"毛地黃(digoxin)",1,{"term":28,"count":26},"Na-K ATPase 與迷走神經張力",{"term":30,"count":26},"心搏過慢與房室傳導阻礙",{"term":32,"count":26},"給藥前測心尖脈",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-medical-surgical-028","有關高血壓病人之日常生活護理指導，下列何者正確？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-medical-surgical-044","王先生 25 歲燒傷入院，全身有 20%的部分皮層燒傷，燒傷部位位於雙下肢，其燒傷嚴重度，下列何者正確？",44,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-medical-surgical-058","執行動脈血液氣體分析時，未將抽取之血液樣本放置冰水中會導致檢查值發生之改變，下列何者正確？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-109-1-medical-surgical-016","有關胃食道逆流病人之護理指導，下列何者錯誤？",16,109,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-1-medical-surgical-060","當慢性阻塞性肺疾病（COPD）病人出現下列何種評估結果時，護理師須優先採取因應措施？",60,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-medical-surgical-014","有關消化性潰瘍的敘述，下列何者正確？",14,111,"2026-09-04",1788510698466]