[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-057":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":26},"nurse-111-2-內外科護理學-057","nurse-111-2-medical-surgical-057",111,2,57,"李先生為氣喘病人，目前使用 Aminophylline 靜脈輸注溶液，護理師得知李先生血清中的 Theophylline 濃度為 12 μg\u002FmL，此時最適當的護理措施為何？",{"A":14,"B":15,"C":16,"D":17},"立即告知主治醫師檢驗報告的數值","繼續使用 Aminophylline 輸注溶液","將輸注溶液更換為不含 Aminophylline 的點滴溶液","聯絡檢驗部門確認數值是否有誤","B",null,[],"本題考點在於 Theophylline 治療濃度範圍的判讀與對應處置。Theophylline 治療血中濃度為 10–20 μg\u002FmL，題目數值 12 μg\u002FmL 落在治療範圍內且無中毒徵象，故最適當的做法是繼續依原計畫使用 Aminophylline 輸注，選 B。考點在於辨識數值落於安全治療窗。A 錯在數值正常、無需緊急通報醫師，過度反應不恰當。C 錯在濃度既在治療範圍且有效，無理由停藥更換點滴，反而使氣喘失控。D 錯在數值合理、無明顯異常，無須質疑檢驗結果或要求重驗。","Aminophylline 為 Theophylline 的靜脈劑型，治療窗窄（10-20 μg\u002FmL），>20 出現噁心、心悸、癲癇等中毒。屬支氣管擴張劑（磷酸二酯酶抑制、腺苷受體拮抗），需定期監測血中濃度。與吸菸、多種藥物有交互作用而影響代謝。",[24,27,29,31],{"term":25,"count":26},"Theophylline 治療濃度",1,{"term":28,"count":26},"Aminophylline",{"term":30,"count":26},"治療窗",{"term":32,"count":26},"藥物監測",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-medical-surgical-058","有關急性呼吸窘迫症候群（ARDS）病生理變化的敘述，下列何者正確？",58,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-medical-surgical-074","下列何種情況可能會導致特魯索氏（Trousseau）與沃斯德克氏（Chvostek）徵象皆呈陽性反應？①低血鈣 ②低血鉀 ③低血糖 ④副甲狀腺功能低下症",74,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-medical-surgical-008","有關腹腔鏡檢查的敘述，下列何者正確？",8,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-1-medical-surgical-006","有關胃食道逆流症的護理指導，下列敘述何者錯誤？",6,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-medical-surgical-010","有關食道內視鏡檢查的敘述，下列何者錯誤？",10,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-medical-surgical-074","有關促進中毒物質排出之方法，不包括下列何者？",106,"2026-09-04",1788510738748]