[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-112-2-產兒科護理學-070","nurse-112-2-maternal-pediatric-070",112,2,70,"初診斷為急性淋巴性白血病童有發生腫瘤溶解症候群（Tumor Lysis Syndrome）之危機，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"監測血液尿酸值","針對常見代謝性異常給與相關處置","限制水分攝取","給與 allopurinol","C",null,[],"本題考點在於腫瘤溶解症候群的水分處置。本題為反向題，錯誤敘述為 C。依腫瘤溶解症候群（TLS）病生理，大量腫瘤細胞快速崩解釋出鉀、磷、尿酸，易致高尿酸血症、高鉀、高磷、低鈣與急性腎損傷，處置核心是「積極水化（大量給水）」促進排泄與利尿，故限制水分攝取的 C 敘述錯誤為答案。A 正確，須監測血中尿酸值以評估病情與腎風險。B 正確，須針對高鉀、高磷、低鈣等代謝異常給予相對應處置。D 正確，給予 allopurinol 抑制黃嘌呤氧化酶以減少尿酸生成、預防尿酸性腎病變。","TLS 好發於高腫瘤負荷、對化療敏感的血液惡性腫瘤（如急性淋巴性白血病、淋巴瘤）治療初期。四大代謝異常「高鉀、高磷、高尿酸、低鈣」可致心律不整與急性腎衰竭。預防與處置三主軸：積極靜脈水化與維持尿量、降尿酸（allopurinol 減生成、rasburicase 分解尿酸）、矯正電解質。核心觀念「多灌水沖走代謝廢物」與 C 的限水恰好相反，是判題關鍵。",[24,27,30,32],{"term":25,"count":26},"腫瘤溶解症候群",4,{"term":28,"count":29},"高尿酸血症",3,{"term":31,"count":10},"allopurinol",{"term":33,"count":34},"積極水化",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-071","有關苯酮尿症病童之臨床症狀，下列敘述何者正確？",71,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-113-1-maternal-pediatric-037","有關腮腺炎（mumps）最常見的合併症，下列敘述何者正確？",37,113,{"webId":46,"stem":47,"number":48,"year":44,"session":29},"nurse-113-3-maternal-pediatric-031","一瓶 nystatin 懸浮液為 100,000 units\u002FmL，兒童罹患鵝口瘡需要一天四次服用，每次給予 250,000 units，請問應給予幾 mL？",31,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-115-1-maternal-pediatric-029","有關嬰幼兒給藥方式，下列措施何者最適當？",29,115,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-maternal-pediatric-053","小萱，出生兩天的早產兒，曾有幾次呼吸暫停的現象，現在小萱的呼吸暫停警鈴響了，下列護理措施何者正確？",53,106,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-108-1-maternal-pediatric-007","有關絨毛膜取樣（Chorionic Villus Sampling）之敘述，下列何者錯誤？",7,108,"2026-09-04",1788510748606]