[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-114-3-內外科護理學-047","nurse-114-3-medical-surgical-047",114,3,47,"病人誤食含有機磷成分的巴拉松農藥，導致噁心、嘔吐、淚流不止、口水跟痰液很多，送入急診，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"有機磷的外觀呈現黑色液體，近似可樂，有杏仁味","可給予靜脈注射 Atropine 或 PAM 等以緩解症狀","立即催吐效果不佳，不可催吐或洗胃","初期出現瞳孔放大、低血壓、抽筋麻痺等症狀","B",null,[],"本題考點在於有機磷農藥中毒的機轉與解毒處置。正解B:有機磷會抑制乙醯膽鹼酯酶,使乙醯膽鹼堆積而出現膽鹼激性症狀,故治療給予靜脈注射Atropine拮抗蕈毒鹼作用,並用PAM(pralidoxime)重新活化被抑制的酵素,故最適當。A錯誤,杏仁味為氰化物中毒的特徵,並非有機磷;C錯誤,誤食者仍需視情況洗胃或給予活性碳以清除毒物,並非一律不可;D錯誤,有機磷中毒典型為「瞳孔縮小(miosis)」、流淚流涎、支氣管分泌增多,而非瞳孔放大。故選B。",1,[24,28,32,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":31,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":33,"stem":34,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840785266]