[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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":10},"nurse-113-1-內外科護理學-033","nurse-113-1-medical-surgical-033",113,1,33,"周先生為氣喘病人，使用藥物後，出現「心悸、心律不整」的反應，最可能導致此反應的藥物為下列何者？",{"A":14,"B":15,"C":16,"D":17},"fenoterol（Berotec®）","ipratropium bromide（Atrovent®）","budesonide（Duasma®）","montelukast（Singular®）","A",null,[],"本題考點在於氣喘用藥的心血管副作用辨識。fenoterol(Berotec®)為β₂交感神經興奮劑(短效支氣管擴張劑),高劑量時因β₁交叉刺激及β₂血管作用,易引起心悸、心搏過速與心律不整,故最可能導致此反應,選A。B錯誤,ipratropium為抗膽鹼藥,心血管副作用相對少;C錯誤,budesonide為吸入型類固醇,主要副作用是口腔念珠菌感染與聲音沙啞;D錯誤,montelukast為白三烯素受體拮抗劑,不具擬交感作用。","β₂致效劑選擇性愈高心臟副作用愈少,但劑量過高仍會激動心臟β₁受體造成心悸、震顫、低血鉀。氣喘階梯治療中,吸入型類固醇(ICS)為控制藥、SABA為緩解藥。記憶:出現心悸震顫先想到β₂致效劑(如salbutamol、fenoterol、terbutaline)。",[24,26,28,30],{"term":25,"count":10},"fenoterol",{"term":27,"count":10},"β2 交感神經興奮劑",{"term":29,"count":10},"心悸心律不整",{"term":31,"count":10},"氣喘用藥",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-medical-surgical-034","王先生診斷左側肋膜積水準備接受胸腔放液穿刺術，下列何者為其最適當的姿勢體位？",34,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-medical-surgical-030","有關類風濕性關節炎臨床表徵之敘述，下列何者錯誤？①症狀通常兩側對稱性地發生 ②活動後有僵硬的現象 ③通常侵犯大關節 ④可能造成腕隧道症候群",30,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-medical-surgical-024","下列何者不是放射線治療病人皮膚出現的急性反應？",24,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-medical-surgical-022","有關急性中耳炎感染途徑之敘述，下列何者錯誤？",22,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-medical-surgical-066","慢性腎臟病（CKD）病人之抽血檢查結果：GFR: 20c.c.\u002Fmin\u002F1.73m 2 、serum Creatinine: 8.0 mg\u002FdL，依此結果，病人是處於 CKD 的第幾期？",66,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-medical-surgical-020","有關鼻咽癌之敘述，下列何者錯誤？",20,108,"2026-09-04",1788510750492]