[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-114-3-產兒科護理學-040","nurse-114-3-maternal-pediatric-040",114,3,40,"何小妹，8 歲，罹患先天性心臟病，需服用毛地黃，母親詢問服藥注意事項，下列回答何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"多補充含鉀食物，如香蕉、深綠色蔬菜","每日定時給藥，且空腹時給藥效果最好","給藥前心尖脈＜70 次／分鐘，應暫停服藥","如忘記服藥大於 6 小時，仍需補給一劑","D",null,[],"本題考點在於學童服用毛地黃(digoxin)的用藥安全,屬反向題,須挑出錯誤敘述。錯誤敘述為 D:漏服若已超過 6 小時應跳過該劑、於下次時間服用,不可補服,以免血中濃度疊加中毒。A 正確,毛地黃易致低血鉀而增強毒性,應多補充香蕉、深綠色蔬菜等含鉀食物;B 正確,每日定時、空腹給藥可穩定吸收與血中濃度;C 正確,給藥前測心尖脈,兒童低於 70 次\u002F分應暫停並通報,以防心搏過慢。","毛地黃治療窗窄,低血鉀會使心肌對其敏感度上升而誘發毒性,故補鉀與監測血鉀是重點。中毒早期徵象包括噁心、嘔吐、視覺變化(黃綠視)、心律不整。心尖脈的暫停閾值隨年齡不同:嬰兒\u003C90～110、幼童\u003C70、成人\u003C60 次\u002F分。",[24,27,30,32],{"term":25,"count":26},"毛地黃 digoxin",4,{"term":28,"count":29},"治療窗窄",2,{"term":31,"count":29},"低血鉀增強毒性",{"term":33,"count":29},"心尖脈監測",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-041","陳小妹，出生後診斷大血管轉位（transposition of the great arteries, TGA），醫囑服用前列腺素（Prostaglandin E 1 ），有關此藥的使用目的，下列敘述何者正確？",41,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-2-maternal-pediatric-037","有關卡介苗建議接種時間，下列敘述何者正確？",37,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-2-maternal-pediatric-001","生產是家庭關係重新開始的重要一環，下列何項醫療院所的政策有助於此理念的推展？",1,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",39,107,{"webId":55,"stem":56,"number":10,"year":57,"session":47},"nurse-109-1-maternal-pediatric-003","孕婦對懷孕產生負向感覺，並隨著妊娠進展會擔心胎兒是否斷手斷腳或是有缺陷，此為那一孕期最常見的心理反應？",109,{"webId":59,"stem":60,"number":42,"year":61,"session":47},"nurse-110-1-maternal-pediatric-037","有關經前症候群的護理措施，下列敘述何者最適當？",110,"2026-09-04",1788510762590]