[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-042","nurse-113-3-maternal-pediatric-042",113,3,42,"有關預防腫瘤溶解症候群（tumor lysis syndrome）所進行的相關處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"持續監測尿糖","化學治療前大量給水","依醫囑按時服用 allopurinol","靜脈輸液加入碳酸氫鈉","A",null,[],"本題考點在於腫瘤溶解症候群（tumor lysis syndrome, TLS）的預防處置。本題為反向題，錯誤敘述為 A。TLS 是大量腫瘤細胞崩解釋出細胞內物質，造成高尿酸、高血鉀、高血磷與低血鈣，故監測重點應為尿酸與電解質，而非尿糖，A 錯誤。B 化療前大量給水以增加尿量、稀釋並排出代謝產物，正確；C 依醫囑服用 allopurinol 抑制尿酸生成，正確；D 靜脈點滴加入碳酸氫鈉使尿液鹼化、增加尿酸溶解度，正確。判斷關鍵在於扣住 TLS 的代謝異常組合。","TLS 好發於高腫瘤負荷、對化療高度敏感的血液惡性腫瘤（如白血病、淋巴瘤）治療初期。核心口訣「三高一低」：高尿酸、高血鉀、高血磷、低血鈣。預防策略為水化、鹼化尿液與降尿酸（allopurinol 抑制黃嘌呤氧化酶；rasburicase 直接分解尿酸）。高血鉀可致命性心律不整，須嚴密監測。",[24,27,29,32],{"term":25,"count":26},"腫瘤溶解症候群",4,{"term":28,"count":10},"高尿酸血症",{"term":30,"count":31},"allopurinol",2,{"term":33,"count":34},"尿液鹼化",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-maternal-pediatric-043","3 歲的小萱出現發燒、臉色蒼白、腹痛，經醫師確診為神經母細胞瘤第三期，有關提供父母的護理指導，下列敘述何者不適當？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":31},"nurse-114-2-maternal-pediatric-039","小櫻，18 個月大，因細支氣管炎（bronchiolitis）住院治療，對其疾病的相關敘述，下列何者最適當？",39,114,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-115-1-maternal-pediatric-033","依據皮亞傑（Piaget）理論，有關兒童對疾病概念之發展，兒童能瞭解疾病乃由器官功能不良造成，下列那一個階段正確？",33,115,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-106-2-maternal-pediatric-051","嬰幼兒疼痛評估，不包括下列那一項？",51,106,{"webId":56,"stem":57,"number":58,"year":59,"session":34},"nurse-108-1-maternal-pediatric-015","王女士，待產期間為右枕前位，進行內迴轉時，下列何者正確？",15,108,{"webId":61,"stem":62,"number":63,"year":64,"session":34},"nurse-109-1-maternal-pediatric-049","林小弟，13 歲，學校體檢時發現上肢血壓高，鼠蹊脈搏較上肢脈搏微弱，主訴頭痛，常常感覺腳部冰冷，林小弟可能罹患下列何種疾病？",49,109,"2026-09-04",1788510753338]