[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-107-1-產兒科護理學-053","nurse-107-1-maternal-pediatric-053",107,1,53,"王小弟，10 歲，長期服用抗癲癇藥物，應定期檢查的項目，下列何者除外？",{"A":14,"B":15,"C":16,"D":17},"血中藥物濃度","肝臟功能檢查","血球數量檢查","心肺功能檢查","D",null,[],"本題考點是長期服用抗癲癇藥物病童的常規監測項目,要找出『不需』定期檢查者。依抗癲癇藥物的藥動與副作用,常規監測應包含:血中藥物濃度(確保在治療範圍、避免中毒)、肝臟功能(多數抗癲癇藥經肝代謝且具肝毒性)、血球數量(部分藥物如 carbamazepine 可致骨髓抑制、白血球或血小板下降),故 A、B、C 皆為必要監測,唯 D『心肺功能檢查』並非抗癲癇藥的常規追蹤項目,故選 D。心肺功能與抗癲癇藥的主要副作用無直接關聯,是四者中最不相關者。","抗癲癇藥監測三本柱:藥物濃度、肝功能、血液學(CBC)。原理:1)多數抗癲癇藥治療窗窄,需驗血中濃度校正劑量;2)phenytoin、valproic acid、carbamazepine 等主要經肝代謝,長期使用可能肝損傷;3)carbamazepine 與 valproic acid 可能引起白血球減少或血小板減少,故需監測血球。此外 phenytoin 長期使用會牙齦增生、valproic acid 可能致胰臟炎。心肺功能非其標準追蹤項目,故為『除外』。答題訣竅:先鎖定該藥物代謝與毒性所在器官,不相關者即為答案。",[24,26,27,29],{"term":25,"count":10},"抗癲癇藥物監測",{"term":14,"count":10},{"term":28,"count":10},"肝功能監測",{"term":30,"count":10},"血球數量骨髓抑制",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-107-1-maternal-pediatric-054","有關雷氏症候群（Reye’s syndrome）病童的臨床症狀，下列敘述何者正確？",54,{"webId":37,"stem":38,"number":39,"year":9,"session":40},"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？",70,2,{"webId":42,"stem":43,"number":44,"year":45,"session":40},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",4,108,{"webId":47,"stem":48,"number":49,"year":50,"session":40},"nurse-109-2-maternal-pediatric-042","下列何者較不屬於兒童遭受虐待／疏忽的常見徵象？",42,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-maternal-pediatric-006","羅女士，因 16 歲的女兒月經遲遲未來，經醫師診斷為透納式症候群（Turner syndrome），有關透納式症候群之敘述，下列何者正確？",6,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-040","李女士 40 歲，因子宮内膜癌進行全子宮和雙側輸卵管卵巢切除術，出院前的護理指導，下列何者正確？①第 1 年每 6 個月回診一次 ②不可抬過重的物品 ③告知可能的更年期症狀 ④術後半年避免性行為",40,112,"2026-09-04",1788510703769]