[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-113-2-產兒科護理學-044","nurse-113-2-maternal-pediatric-044",113,2,44,"有關白血病病童接受化學治療期間，依醫囑注射 Rasburicase 及 Allopurinol 的目的，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"預防卡氏肺囊蟲肺炎","預防腫瘤溶解症候群造成高尿酸血症","預防中樞神經系統白血病的復發","治療念珠菌感染引起的鵝口瘡","B",null,[],"本題考點在於 Rasburicase 與 Allopurinol 在白血病化療期間的用藥目的。白血病化療時大量腫瘤細胞崩解會釋出核酸代謝為尿酸，引發腫瘤溶解症候群（TLS），出現高尿酸血症、高血鉀、高血磷與低血鈣，可致急性腎損傷，故給予 Rasburicase（尿酸氧化酶，分解尿酸為水溶性尿囊素）與 Allopurinol（黃嘌呤氧化酶抑制劑，減少尿酸生成）以預防高尿酸血症與腎損傷，選 B。A 錯，預防卡氏肺囊蟲肺炎用的是 co-trimoxazole（TMP-SMX），非本題藥物。C 錯，預防中樞神經白血病復發用鞘內化療（如 methotrexate）與顱部放射，非這兩種降尿酸藥。D 錯，念珠菌鵝口瘡治療用抗黴菌藥（如 nystatin、fluconazole）。本題須掌握兩藥皆屬「降尿酸、防腫瘤溶解症候群」的支持性用藥。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840796504]