[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-fundamental-nursing-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":31,"lastmod":61},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-115-1-基本護理學與護理行政-013","nurse-115-1-fundamental-nursing-013",115,1,13,"醫囑：tacrolimus 1 mg\u002Fcap 1 cap. QD P.O. 為持續性藥效膠囊，其正確的服用方式為何？",{"A":15,"B":16,"C":17,"D":18},"整顆吞服","剝半吞服","磨粉後灌食","咬碎後吞服","A",null,[],"本題考點為持續性藥效(緩釋)劑型的服用原則。持續性藥效膠囊以特殊控釋結構讓藥物緩慢釋放,維持穩定血中濃度並減少服藥次數;剝半、磨粉或咬碎都會破壞控釋機制,使原本應分次緩慢釋出的劑量瞬間大量釋放(劑量傾洩),血中濃度驟升而增加毒性風險,其後又因無藥可釋而失去療效,故正確服法為整顆吞服,選A,B、C、D皆錯誤。tacrolimus為免疫抑制劑,治療區間狹窄,血中濃度過高易產生腎毒性等不良反應,更不可破壞其劑型結構。","辨識緩釋劑型的常見標示:SR(sustained-release)、ER\u002FXR(extended-release)、CR(controlled-release)、LA(long-acting);腸溶錠(EC)同樣不可磨碎,因其外膜設計是為了通過胃酸、到腸道才溶解。兩類劑型被破壞的共同危險機轉即劑量傾洩(dose dumping)。延伸考點:tacrolimus需監測血中濃度(TDM),與葡萄柚汁併服會抑制CYP3A4代謝酵素使血中濃度上升,增加毒性風險。",[25,27,29],{"term":26,"count":11},"緩釋劑型整顆吞服",{"term":28,"count":11},"劑量傾洩",{"term":30,"count":11},"tacrolimus 治療區間狹窄",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":10,"session":11},"nurse-115-1-fundamental-nursing-014","腳踝扭傷後三天，病人仍疼痛且患部有瘀青，但無水腫情況，給與該部位熱敷的作用機轉，下列敘述何者正確？",14,{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-106-1-fundamental-nursing-010","有關專業性人際關係結束期的護理重點，下列何者正確？",10,106,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-106-2-fundamental-nursing-024","有關血栓靜脈炎的敘述，下列何者錯誤？",24,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-107-2-fundamental-nursing-062","成功的推動目標管理，不僅要將目標管理簡化為一種管理程序，更需要導入相關技巧才得以成功。下列何者為目標管理成功的要件？①主管清楚列出目標 ②依個人能力分配不同目標 ③把權限與責任分授給各級主管 ④目標由主管和員工共同完成 ⑤定期回饋進展狀況",62,107,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-109-1-fundamental-nursing-026","李先生體重 60 公斤，輸血醫囑「Blood transfusion PRBC（packed RBC）2 units」，關於其輸血，下列敘述何者正確？",26,109,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-110-1-fundamental-nursing-060","下列何者屬於非量性的決策工具？",60,110,"2026-08-06",1787299088134]