[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-109-2-產兒科護理學-077","nurse-109-2-maternal-pediatric-077",109,2,77,"有關提供癲癇病童長期服用抗癲癇藥物的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需與牛奶一起服用，避免吸收不良","定時回診監測血中藥物濃度","即使發作頻率降低，也不可自行停藥","使用 phenytoin （Dilantin）常見副作用是牙齦增生","A",null,[],"本題考點為抗癲癇藥長期服用衛教的正確性辨識，題目要找出錯誤者。依 phenytoin 的藥物交互作用，牛奶等含鈣食物會與其結合、降低腸道吸收，故與牛奶併服反而造成吸收不良、血中濃度下降，敘述 A 說法錯誤，即為答案。B 正確，抗癲癇藥治療區間窄，須定期監測血中濃度以維持療效並避免中毒。C 正確，即使發作減少也不可自行停藥，驟停恐誘發癲癇重積。D 正確，phenytoin（Dilantin）常見副作用即牙齦增生，須加強口腔衛生。","phenytoin 屬治療濃度區間狹窄的藥物，理想血中濃度約十至二十微克每毫升。鈣質與腸道灌食均降低其吸收，服藥宜與奶製品或灌食間隔。牙齦增生機轉與膠原代謝及纖維母細胞增生有關，勤刷牙與使用牙線可減輕。驟停致癲癇重積是重要安全考量。",[24,26,28,31],{"term":25,"count":10},"血中藥物濃度監測",{"term":27,"count":10},"牙齦增生",{"term":29,"count":30},"phenytoin",1,{"term":32,"count":30},"藥物吸收交互作用",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-078","有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",78,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-maternal-pediatric-014","有關第二產程的敘述，下列何者錯誤？",14,110,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-111-1-maternal-pediatric-028","王小弟，出生 1 個月，有關評估其生殖器之描述，下列何者最正確？",28,111,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-112-1-maternal-pediatric-066","小宇，10 歲，患有主動脈狹窄（Coarctation of the Aorta, COA），入院時可能出現的臨床表徵，下列敘述何者不適當？",66,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-maternal-pediatric-010","安胎婦女使用下列何種藥物可促進胎兒肺部成熟？",10,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-maternal-pediatric-004","王女士，懷孕 36 週，第一胎，擔心不知何種情況要前往醫院待產，住家離醫院約 20 分鐘車程，下列指導何者最適當？",4,114,3,"2026-09-04",1788510717757]