[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-045":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-109-2-產兒科護理學-045","nurse-109-2-maternal-pediatric-045",109,2,45,"強強 4 歲，誤食退燒藥，至急診求治，診斷為乙醯氨基酚（acetaminophen）中毒，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"誤食後應立即給予 naloxone","誤食二小時內應避免洗胃及催吐","誤食三天後開始使用活性碳吸附劑","誤食後常用的解毒劑為 N-acetylcysteine（mycomyst）","D",null,[],"本題考點在於乙醯氨基酚(acetaminophen)中毒的解毒劑與急救處置。依藥理,過量acetaminophen經肝代謝產生毒性中間物NAPQI耗竭穀胱甘肽而傷肝,解毒劑N-acetylcysteine(NAC)可補充穀胱甘肽前驅物中和毒性,故D正確。A naloxone是鴉片類專一拮抗劑,對乙醯氨基酚無效;B誤食早期數小時內反而應考慮洗胃或催吐等去污染,而非避免;C活性碳須於誤食後儘早給予吸附,延至三天後已無意義。","NAC於攝入後8至10小時內給予效果最佳,並依Rumack-Matthew nomogram以血中濃度對時間判讀肝毒性風險。NAPQI由CYP2E1代謝生成,慢性酗酒或空腹使穀胱甘肽儲備更低而更毒。口訣「普拿疼過量,NAC來救肝」。",[24,27,29,31],{"term":25,"count":26},"acetaminophen中毒",1,{"term":28,"count":26},"N-acetylcysteine",{"term":30,"count":26},"NAPQI與穀胱甘肽",{"term":32,"count":26},"活性碳去污染",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-046","有關嬰幼兒呼吸系統的解剖生理特徵，下列何者正確？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-062","有關兒童罹患會厭炎（Epiglottitis）的典型症狀，下列敘述何者最不適當？",62,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-076","張小弟，10 歲，診斷為腎病症候群（nephrotic syndrome），目前服用 Prednisolone 治療，下列護理指導何者最適當？",76,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-maternal-pediatric-034","張女士，懷孕 8 週，主訴陰道點狀出血、腹部微痛，超音波檢查子宮頸口未開，可能為下列何種情形？",34,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-maternal-pediatric-028","有關滿15個月大幼兒之動作發展，下列敘述何者正確？",28,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-022","林女士第一胎，子宮頸口全開後，即使在無子宮收縮時，也可在會陰部看到胎兒頭髮，此現象稱為：",22,114,"2026-09-04",1788510717474]