[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-113-1-產兒科護理學-026","nurse-113-1-maternal-pediatric-026",113,1,26,"小花因誤食鐵劑而送醫治療，指導小花媽媽之護理措施，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"鐵劑通常不會沉積在肝臟或造成肝損傷","一週後應注意腸胃不適或出血的症狀","使用活性碳可以幫助鐵劑的吸附","注射去鐵質劑，尿液會呈深褐／紅橙色","D",null,[],"本題考點在於鐵劑中毒的解毒治療與衛教。依鐵中毒處置原則,首選解毒劑為去鐵胺（deferoxamine），它與體內游離鐵螯合後經腎臟排出,尿液會呈現特徵性的深褐色或紅橙色（俗稱vin rosé尿）,可作為藥效指標,故選D。A錯:鐵劑過量會蓄積於肝臟造成肝細胞壞死與肝毒性,並非不會沉積。B錯:鐵中毒的腸胃道腐蝕與出血是急性期（數小時內)表現,而非等一週後才注意,延遲觀察會延誤病情。C錯:活性碳無法有效吸附金屬離子如鐵,故鐵中毒不使用活性碳,而以洗胃或全腸道灌洗處理。","鐵中毒分五期:腸胃出血期→潛伏期→休克代謝性酸中毒期→肝衰竭期→幽門狹窄期。去鐵胺（deferoxamine）與三價鐵Fe³⁺形成ferrioxamine複合物由尿排出,尿色變化是床邊判斷是否仍有游離鐵的實用指標。記憶點:金屬中毒靠螯合劑（chelator),活性碳只對有機物有效,對鐵、鋰、重金屬幾乎無效。",[24,27,29,31],{"term":25,"count":26},"活性碳吸附限制",2,{"term":28,"count":10},"鐵中毒",{"term":30,"count":10},"去鐵胺deferoxamine",{"term":32,"count":10},"螯合劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-027","小明，16歲，高中一年級，在校成績低落、情緒不穩、易怒、缺課，曾表明想從世界消失。就醫後診斷為青少年憂鬱症。媽媽詢問護理師如何幫助小明時，下列敘述何者錯誤？",27,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-023","重度子癇前症孕婦之飲食指導，下列建議何者最適當？",23,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-017","有關新生兒出生後一週內生理性體重減輕的常見原因，下列何者除外？",17,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-015","張女士待產時胎心率發生變異性減速（variable deceleration），此時護理師應最先執行的護理措施為下列那一項？",15,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-059","小玲，7 個月大，因大口吃蒟蒻而噎到，有關其急救處置，下列敘述何者正確？",59,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-maternal-pediatric-013","承上題，陳女士裝上胎兒監視器，此時胎兒心跳轉送器放置何處，可聽到最清楚胎心音？",13,108,"2026-09-04",1788510750868]