[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-1-產兒科護理學-071","nurse-108-1-maternal-pediatric-071",108,1,71,"王小弟，3 歲，罹患法洛氏四重症。每天早上 9 點與晚上 9 點需服用毛地黃。若在早上需服藥時間的 3 小時後，發現遺漏服用，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"立即補服一劑，下一劑延到晚上 12 點服用","立即補服一劑，下一劑維持晚上 9 點服用","不需補服，下一劑維持晚上 9 點服用","不需補服，晚上 9 點服用兩劑","B",null,[],"本題考點在毛地黃（digoxin）漏服的處理原則。發現漏服時間距原服藥時間僅 3 小時，仍在可補服的時間窗內（一般未超過原間隔的一半，約 6 小時內可補），故應立即補服一劑，且下一劑仍維持原訂晚上 9 點服用，選 B。選項 A 錯在補服後不需將下一劑延到午夜，會打亂固定的給藥間隔。選項 C 錯在漏服僅 3 小時且在時間窗內，應補服而非略過。選項 D 錯在絕不可於晚上一次服用兩劑，重複劑量會造成毛地黃中毒（心律不整、噁心嘔吐、視覺異常）。","毛地黃給藥安全：治療窗窄，服藥前須測心尖脈滿 1 分鐘，兒童若脈搏過慢（如小於 90–110 次\u002F分，依年齡）應暫停並通報。漏服原則「未過半個間隔可補、過半則跳過，絕不加倍」。中毒早期徵象——噁心嘔吐、心律不整、黃綠視、心搏過緩。低血鉀會加重毒性。可連結概念：digoxin 正性肌力作用、心尖脈評估、治療藥物監測、低血鉀與毒性加乘（呼應第 051 題 TDM 概念）。",[24,27,30,32],{"term":25,"count":26},"毛地黃 digoxin",4,{"term":28,"count":29},"漏服補服原則",2,{"term":31,"count":10},"禁止加倍劑量",{"term":33,"count":10},"毛地黃中毒",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-072","王小弟，5 歲，因心臟病需進行胸骨切開式開心手術。有關傷口換藥的術前心理準備，下列護理措施何者合適？",72,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-1-maternal-pediatric-008","懷孕 28 週婦女，羊水指數（AFI）小於 5 公分，表示胎兒可能出現下列何種情況？",8,109,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-109-2-maternal-pediatric-022","陳先生初次當爸爸，從未參與新生兒照護，表示：「不要抱妹妹給我，她軟軟的，我不敢抱。」下列敘述何者最適當？",22,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-2-maternal-pediatric-060","幼兒感染腸病毒後的 5 天內，需要密切注意腸病毒的嚴重合併症狀，下列選項何者除外？",60,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-024","吳女士，G 1 P 1 ，產後進行親子同室，其先生抱起寶寶，眼神專注凝視寶貝，並輕聲細語說：「我是爸爸，叫爸爸。」下列描述父親與新生兒發展依附之行為，何者最適當？",24,112,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-113-1-maternal-pediatric-008","陰道生產過程，下列何種情形表示先露部位胎頭已發生著冠（crowning）？",113,"2026-09-04",1788510710805]