[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":26},"nurse-114-2-內外科護理學-004","nurse-114-2-medical-surgical-004",114,2,4,"有關癲癇藥物處置的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"多種抗癲癇藥物同時使用效果最佳","考慮停藥時可先行選擇半衰期較長的藥物逐漸減量","服用抗癲癇藥物 phenytoin 類（如 Dilantin），一旦懷孕須立即停藥，避免胎兒畸形","病人於服藥期間 2～3 年內無任何癲癇發作，且神經學及腦波檢查正常，可考慮慢慢停藥","D",null,[],"本題考點在於抗癲癇藥物治療與停藥原則。依停藥須在長期無發作且檢查正常後漸進減量之原則，病人服藥期間2–3年內無任何發作、且神經學檢查與腦波正常時，才可考慮慢慢停藥，故 D 正確。A 錯在應盡量單一藥物（monotherapy）控制，多藥併用增加副作用與交互作用。B 敘述的減量策略不完整、非本題正解重點。C 錯在懷孕時不可貿然立即停藥，突然停藥恐誘發癲癇重積狀態，應與醫療團隊評估調整，故選 D。","抗癲癇藥治療原則：單藥起始、逐步調量、達有效血中濃度；停藥須無發作數年並經腦波確認、緩慢遞減以防反彈發作與重積。Phenytoin 有牙齦增生、齒齦炎、致畸胎風險，孕期須權衡而非驟停，凸顯持續服藥的重要。",[24,27,29,31],{"term":25,"count":26},"抗癲癇藥物",1,{"term":28,"count":26},"單藥治療",{"term":30,"count":26},"漸進停藥",{"term":32,"count":26},"癲癇重積",[34,38,42,46,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-005","有關病人因頸椎脊髓損傷處於脊髓休克期的敘述，下列何者錯誤？",5,{"webId":39,"stem":40,"number":26,"year":41,"session":26},"nurse-115-1-medical-surgical-001","陳先生T3～T5脊髓損傷，目前血壓250\u002F140 mmHg，心跳50～55次／分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象？",115,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-115-2-medical-surgical-045","副甲狀腺切除術後易發生下列何種現象？",45,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-107-1-medical-surgical-033","手術後輸血導致出現溶血性黃疸所造成之檢驗值變化，下列何者正確？",33,107,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-108-1-medical-surgical-077","依據吳先生的症狀與徵象，所執行之立即處置，下列何者不適宜？",77,108,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-2-medical-surgical-031","有關心絞痛之常用藥物 Nitroglycerine（NTG）之護理指導，下列何者錯誤？",31,109,"2026-09-04",1788510759486]