[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-113-3-產兒科護理學-040","nurse-113-3-maternal-pediatric-040",113,3,40,"2 歲的王小弟罹患先天性心臟病，以毛地黃（digoxin）治療，一天服用兩次。下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"餐後半小時內服用藥物","可與牛奶或果汁一起服用","若忘了服用藥物，六小時內可以補給原劑量","給藥後需測量心尖脈","C",null,[],"本題考點在於幼兒服用毛地黃（digoxin）的用藥指導。正確為 C：若漏服，通常在原服藥時間 6 小時內可補給原劑量，超過則應跳過該次、不可加倍補服，以免中毒。A 錯誤，餐後服用會影響吸收，且與進食時間搭配非重點；B 錯誤，不宜與牛奶或果汁併服，以免影響吸收；D 錯誤，測量心尖脈應在「給藥前」評估，心跳過慢時應暫緩給藥並回報，而非給藥後才測。判斷關鍵在於掌握漏服補救的時間窗與給藥前的脈搏監測順序。","digoxin 治療指數狹窄，過量易致噁心、嘔吐、心律不整。給藥前需測心尖脈一分鐘，幼兒常以心跳低於 90～100 次\u002F分為暫停給藥門檻。漏服的通則是「越接近下次服藥時間越不補」，6 小時內可補、超過即略過。可連結低血鉀會增強毛地黃毒性，故同時使用利尿劑者須注意血鉀。",[24,27,30,32],{"term":25,"count":26},"毛地黃 digoxin",4,{"term":28,"count":29},"心尖脈",1,{"term":31,"count":29},"漏服補救",{"term":33,"count":29},"治療指數",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-041","6 歲的小強因不明原因的貧血而入院，欲進行骨髓抽吸術（bone marrow aspiration），下列處置及護理措施何者錯誤？",41,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-114-2-maternal-pediatric-037","小禹，4 歲，罹患腸病毒，現預計出院返家照護，護理師給予父母的居家照護指導，下列何者不適當？",37,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-115-1-maternal-pediatric-031","強強，1 歲 6 個月大，第一次接觸托嬰中心的陌生環境及教保員就大哭大鬧，雖然由固定的教保員照顧，但仍需花費較長的時間才能安穩。有關強強的氣質敘述，下列何者正確？",31,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-maternal-pediatric-049","李小妹，4 歲，在幼兒園上課時，經常是笑口常開，對於新同學與老師、玩具或活動均可以很快地接受，此行為表現為嬰幼兒氣質評估中的那一種項目？",49,106,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-108-1-maternal-pediatric-013","蔡女士第一胎，因待產緊急狀況需進行剖腹產，醫師採用吸入性麻醉藥物進行全身麻醉，下列何者錯誤？",13,108,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-109-1-maternal-pediatric-047","下列何者不是腮腺炎的臨床典型症狀？",47,109,"2026-09-04",1788510753331]