[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-1-產兒科護理學-040","nurse-114-1-maternal-pediatric-040",114,1,40,"小強，5歲，長期服用毛地黃（digoxin）之護理指導，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"若服藥前測量一分鐘心跳低於90次則暫停服藥一次","建議與其他食物混合餵食，以利藥物吸收","若使用利尿劑（Lasix），避免香蕉、深綠色蔬菜等含鉀高之食物","於服藥時間後4小時發現忘記服藥應補服","D",null,[],"本題考點在於兒童使用毛地黃（digoxin）的用藥安全指導。依 digoxin 給藥原則，給藥後若在 4 小時內發現漏服可補服，超過則跳過該次、不可雙倍補服以免中毒，故 D 最適當。A 學齡前及兒童給藥前應測心尖脈滿一分鐘，「兒童」暫停給藥的閾值一般為低於 70 次\u002F分（嬰兒為 90～100），90 次的判準對 5 歲兒童不正確。B 不應與食物或配方奶混合餵食，以免孩子未喝完導致劑量不準，錯誤。C 併用利尿劑 Lasix 會排鉀致低血鉀，低血鉀會「增強」毛地黃毒性，故應「多補充」而非避免高鉀食物，方向相反，錯誤。","Digoxin 治療窗窄，低血鉀會使其與 Na-K-ATPase 結合增加而放大毒性，故併用排鉀利尿劑時須補鉀。給藥前測心尖脈一分鐘，兒童 \u003C70\u002F分、嬰兒 \u003C90\u002F分暫停並通報。中毒徵象：噁心嘔吐、視覺變化（黃綠視）、心律不整。漏服補服窗約 4 小時內；不與食物混餵確保足量。",[24,27,30,32],{"term":25,"count":26},"毛地黃 digoxin",4,{"term":28,"count":29},"低血鉀增強毒性",2,{"term":31,"count":29},"心尖脈評估",{"term":33,"count":29},"治療窗窄",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-maternal-pediatric-041","有關海洋性貧血兒童使用排鐵劑（deferoxamine）治療，下列敘述何者錯誤？",41,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-maternal-pediatric-037","在流感好發的季節，一位母親帶著嬰兒來健兒門診詢問護理師，可以接種第一劑流感疫苗的時間，下列何者正確？",37,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-2-maternal-pediatric-031","有關健康兒童各階段已完成發展的動作敘述，下列何者較不適當？",31,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-maternal-pediatric-019","有關避孕方法原理的敘述，下列何者錯誤？",19,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-maternal-pediatric-063","有關新生兒罹患先天性梅毒的敘述，下列何者錯誤？",63,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-2-maternal-pediatric-017","下列何者為子宮收縮頻率（frequency）的定義？",17,109,"2026-09-04",1788510757992]