[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-112-1-產兒科護理學-065","nurse-112-1-maternal-pediatric-065",112,1,65,"菲菲，2 歲，罹患法洛氏四重症（Tetralogy of Fallot, TOF），出院後仍需每 12 小時服用毛地黃（Digoxin）一次，下列護理指導何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"給藥前須完整測量心尖脈 1 分鐘","最好是在飯前 1 小時或飯後 2 小時給藥","勿將藥物與果汁混合餵食","若忘記給藥超過 6 小時應補給一劑","D",null,[],"本題考點為毛地黃（Digoxin）在兒童的給藥安全指導。給藥前完整測心尖脈 1 分鐘以評估心跳（A）、選飯前 1 小時或飯後 2 小時以利吸收（B）、勿與果汁混合以免影響藥效與確保完整服入（C），皆為正確衛教。錯誤敘述為 D：毛地黃治療窗窄，若漏藥超過約 6 小時應「跳過該次、按下次時間服用」，不可補服，以免血中濃度過高中毒，故選 D。","Digoxin 為強心配醣體，抑制 Na⁺\u002FK⁺-ATPase 增強心肌收縮並減慢心率，治療指數窄。給藥前測心尖脈：嬰兒\u003C90～110、兒童\u003C70 次\u002F分應暫停並通報。中毒徵象：噁心嘔吐、心律不整、視覺異常（黃綠視）。漏藥處理原則：距下次過近則不補服，避免疊加中毒；低血鉀會加重毒性。",[24,27,29,31],{"term":25,"count":26},"心尖脈評估",2,{"term":28,"count":10},"毛地黃 Digoxin",{"term":30,"count":10},"治療指數窄",{"term":32,"count":10},"漏藥不補服",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":26,"year":9,"session":41},"nurse-112-3-maternal-pediatric-002","有關拉梅茲倡議的生產措施，下列敘述何者正確？",3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-046","小強罹患先天性巨結腸症（congential megacolon），有關照護和手術之護理指導敘述，下列何者正確？",46,113,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-114-2-maternal-pediatric-044","劉小妹， 3 歲，罹患急性淋巴性白血病，經過血液常規檢查發現，白血球： 2,500\u002Fmm 3 ，多型核白血球（segment）： 8%，帶狀白血球（band）：10%，其絕對嗜中性白血球（absolut neutrophil count, ANC）是多少？",44,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-048","小馨，20 個月，身體檢查評估時，一般而言，下列那顆乳齒尚未長出？",48,106,{"webId":58,"stem":59,"number":26,"year":60,"session":26},"nurse-107-2-maternal-pediatric-002","有關臺灣家庭結構改變的敘述，下列何者錯誤？",107,"2026-09-04",1788510743007]