[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-2-基本護理學與護理行政-020","nurse-111-2-fundamental-nursing-020",111,2,20,"有關藥物與食物服用禁忌的說明，下列敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"甘草與毛地黃一起合用可能引發高血鉀","鎮靜劑避免以茶水一起服用，以免降低藥效","葡萄柚汁會干擾鈣離子阻斷劑在肝臟的代謝","酒精會促進抗組織胺對中樞神經之抑制作用","A",null,[],"本題考點是藥物與食物交互作用。依鉀離子與毛地黃(digoxin)的關係,甘草(glycyrrhizin)具類醛固酮作用會促進排鉀、造成低血鉀而非高血鉀,而低血鉀會增強毛地黃毒性,故A敘述「引發高血鉀」錯誤,為正解。B正確,茶水中的單寧酸與咖啡因會與鎮靜劑作用相抵、降低藥效。C正確,葡萄柚汁抑制腸道與肝臟CYP3A4酵素,干擾鈣離子阻斷劑代謝使血中濃度升高。D正確,酒精與抗組織胺皆抑制中樞神經,併用會加成鎮靜嗜睡作用。考點在於辨識各項交互作用的方向與機轉是否正確。","甘草的glycyrrhizin抑制11β-HSD2,使皮質醇未被轉化而作用於礦物皮質素受體,產生假性醛固酮增多、鈉滯留與排鉀,導致低血鉀。低血鉀時心肌對digoxin敏感度上升,毒性風險增加,故重點是「低鉀」而非高鉀。葡萄柚汁抑制CYP3A4是經典藥物交互作用,使dihydropyridine類CCB血中濃度飆升致低血壓。記憶:甘草→假性醛固酮→排鉀→強化毛地黃毒性。中樞抑制劑(酒精、抗組織胺、鎮靜劑)彼此加成,是嗜睡與呼吸抑制風險。",[25,28,30,32],{"term":26,"count":27},"甘草與低血鉀",1,{"term":29,"count":27},"毛地黃毒性",{"term":31,"count":27},"葡萄柚汁與CYP3A4",{"term":33,"count":27},"中樞神經抑制加成",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-021","當一個人的動脈血中 pH 值：7.25，PaCO 2 ：65 mmHg，〔HCO 3- 〕：25 mEq\u002FL，在臨床上是屬於那一類酸鹼平衡失調？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-112-1-fundamental-nursing-037","林先生因感染導致敗血症，一天內有時體溫達 39℃以上，有時又會突然降到正常值以下，如此交替出現，此發燒類型應為：",37,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-051","有關靜脈抽血收集血液檢體，下列何者不是造成溶血的原因？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-019","當脂肪取代醣類為身體能量的主要來源時，尿液中會出現那一種大量的物質？",19,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":27},"nurse-115-1-fundamental-nursing-023","有關協助病人採坐臥姿之敘述，下列何者錯誤？",23,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-037","有關醫療環境中機械性傷害之敘述，下列何者正確？",106,"2026-09-04",1788510737659]