[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-005":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":10},"nurse-107-2-內外科護理學-005","nurse-107-2-medical-surgical-005",107,2,5,"有關抗癲癇藥物 dilantin 之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"宜維持血清治療濃度在 5～10 mcg\u002FmL","齒齦增生是常見的副作用","靜脈滴注應使用含葡萄糖溶液稀釋","只要沒有癲癇發作即可停藥","B",null,[],"本題考點是抗癲癇藥 phenytoin(Dilantin)的藥理與副作用。齒齦增生(gingival hyperplasia)是長期使用 phenytoin 的典型副作用,須加強口腔衛生,故 B 正確。A 錯誤:phenytoin 的血清治療濃度為 10–20 mcg\u002FmL,而非 5–10 mcg\u002FmL,標示過低。C 錯誤:靜脈注射時應以生理食鹽水稀釋,因藥物在含葡萄糖溶液中會產生沉澱,不可用葡萄糖液稀釋。D 錯誤:抗癲癇藥須依醫囑逐漸減量,不可因暫無發作即自行驟然停藥,驟停可能誘發癲癇重積。四者中唯 B 符合 phenytoin 的臨床特性,故為正確答案。","phenytoin 屬鈉離子通道阻斷型抗癲癇藥,治療窗窄(10–20 mcg\u002FmL)須監測血中濃度。副作用記憶:齒齦增生、多毛、複視\u002F眼球震顫(濃度過高)、共濟失調、皮疹(嚴重可致 Stevens-Johnson)。靜脈給藥須慢速並用生理食鹽水,避免葡萄糖致沉澱及「紫手套症候群」。與 warfarin、口服避孕藥等有交互作用(酵素誘導)。齒齦增生的護理重點是口腔清潔與定期洗牙。",[24,26,29,31],{"term":25,"count":10},"生理食鹽水稀釋",{"term":27,"count":28},"phenytoin藥理",1,{"term":30,"count":28},"齒齦增生",{"term":32,"count":28},"治療血中濃度10-20mcg\u002FmL",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-006","病人的血壓值為 150\u002F90 mmHg，顱內壓為 15 mmHg，其腦組織灌流壓（CPP）下列何者正確？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-108-1-medical-surgical-022","有關視網膜剝離手術後病人護理措施之敘述，下列何者錯誤？",22,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-medical-surgical-036","有關乳癌轉移壓迫脊髓最常見之部位，下列何者正確？",36,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-medical-surgical-074","有關糖尿病酮酸中毒（DKA）病人之檢驗結果，下列何者正確？①動脈血氧分析 pH 7.2 ②動脈血氧分析 pH 7.5 ③血中碳酸根離子濃度 14 mEq\u002FL ④血中碳酸根離子濃度 25 mEq\u002FL ⑤血清滲透壓>320 mOsm\u002Fkg ⑥血清滲透壓\u003C320 mOsm\u002Fkg",74,109,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-111-1-medical-surgical-038","有關特異性血小板減少性紫斑症之敘述，下列何者正確？①可能與自體免疫疾病有關 ②骨髓檢查可發現巨核細胞增加 ③須避免使用 Aspirin 的藥物 ④經常發生於細菌感染後",38,111,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-112-1-medical-surgical-072","承上題，有關陳小姐術後之護理指導，下列敘述何者正確？",72,112,"2026-09-04",1788510724936]