[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-114-2-產兒科護理學-041","nurse-114-2-maternal-pediatric-041",114,2,41,"有關先天性心臟病病童的藥物護理，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用前列腺素 E 1 （PGE 1 ）需注意呼吸窘迫的問題","使用 Propranolol（Inderal）需注意心跳過慢的問題","使用 Digoxin 如果心跳過慢可能是毒性反應","使用 Spironolactone（Aldactone）可能造成血鉀過低","D",null,[],"本題考點在於先天性心臟病常用藥物的副作用監測。依藥理，前列腺素E1(PGE1)用以維持開放性動脈導管但會抑制呼吸，須防呼吸窘迫(A)；Propranolol為β受體阻斷劑會使心跳過慢(B)；Digoxin中毒早期徵象之一即心搏過緩(C)皆正確。本題為反向題，錯誤者為D，Spironolactone(Aldactone)屬保鉀利尿劑，造成的是血鉀過高而非過低，故選D。","Spironolactone拮抗醛固酮、保鉀排鈉,與呋塞米等排鉀利尿劑相反,故風險是高血鉀。Digoxin用藥前須數心尖脈,嬰兒小於90至100次\u002F分應停藥回報;低血鉀會加重毛地黃毒性。PGE1保持動脈導管開放是導管依賴型先天性心臟病的救命橋接。",[24,27,29],{"term":25,"count":26},"先天性心臟病用藥",1,{"term":28,"count":26},"Spironolactone保鉀利尿劑",{"term":30,"count":26},"Digoxin毒性",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-114-2-maternal-pediatric-042","小丁進行視力檢查，發現右眼有白色反光（貓眼反射），可能罹患下列何種疾病？",42,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-115-1-maternal-pediatric-038","為 5 個月大的嬰兒進行呼吸系統的身體檢查與評估時，下列敘述何者最適當？",38,115,{"webId":42,"stem":43,"number":44,"year":45,"session":26},"nurse-106-1-maternal-pediatric-032","沈女士，21 歲，懷孕 30 週產檢時發現血壓 150\u002F100 mmHg，經診治與追蹤 1 個月後，血壓仍維持在 150\u002F100～160\u002F110 mmHg 之間，34 週產檢時血壓 160\u002F100 mmHg 合併尿蛋白(+)及水腫(+)情形，根據這些臨床徵候，沈女士可能罹患下列何項合併症？",32,106,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-107-1-maternal-pediatric-070","小虹，1 歲 2 個月，因細支氣管發炎住院，聽診下肺葉痰音重，醫師囑予 combivent 蒸氣吸入，及執行胸腔物理治療（CPT）。有關胸腔物理治療注意事項，下列何者正確？",70,107,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-108-2-maternal-pediatric-034","下列何者不是用來判斷孕婦是否破水的方法？",34,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-maternal-pediatric-068","9 歲的小君，診斷白血病（leukemia），目前接受化學治療，其血液檢驗數值嗜中性白血球計數為 800\u002Fmm 3 ，有關護理措施，下列敘述何者不適當？",68,109,"2026-09-04",1788510760289]