[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-115-1-產兒科護理學-048","nurse-115-1-maternal-pediatric-048",115,1,48,"陳小弟，8 歲，罹患癲癇，有關癲癇的照護，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"如突然停用抗癲癇藥，易造成癲癇重積現象（status epilepticus）","如服用癲能停（Dilantin）須特別注意口腔衛生","生酮飲食治療主要以低脂肪為主，對穩定神經傳導物質有幫助","服用帝拔癲（Depakine）期間，需定期監測血中藥物濃度","C",null,[],"本題考點在癲癇用藥與生酮飲食的基本原則。生酮飲食的設計是高脂肪、低碳水化合物並給予適量蛋白質，讓身體以酮體作為腦部主要能量來源進而降低癲癇發作，敘述成以低脂肪為主完全相反，故 C 錯誤。A 正確，抗癲癇藥突然停用會使血中濃度驟降而誘發癲癇重積狀態。B 正確，該藥常見副作用為牙齦增生，需加強口腔衛生與牙齦按摩。D 正確，此藥治療濃度範圍窄且可能影響肝功能，須定期監測血中藥物濃度。","生酮飲食常以脂肪與非脂肪重量約四比一設計，執行期間需監測血中酮體、生長曲線、血脂與腎結石風險，且不可隨意中斷破壞酮症狀態。抗癲癇藥的照護通則是規則服藥、不自行加減、記錄發作日誌，並注意各藥特徵：牙齦增生與多毛屬癲能停、體重增加與肝毒性屬帝拔癲。癲癇重積狀態定義為發作持續過久或反覆發作間未恢復意識，屬會造成腦部缺氧損傷的危急情況。可連結發作當下的安全維護原則與發作型態的描述要點。",[24,27,29,31],{"term":25,"count":26},"抗癲癇藥不可驟停",2,{"term":28,"count":10},"生酮飲食組成",{"term":30,"count":10},"癲能停牙齦增生",{"term":32,"count":10},"帝拔癲血中濃度監測",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-049","小明，4 歲 2 個月大，右側股骨骨折（right femoral fracture）而住院，有關使用石膏治療產生患肢循環和神經系統的異常現象，下列徵象何者不適當？",49,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-045","下列何種藥物可能與雷氏症候群（Reye syndrome）有關，不建議兒童使用？",45,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-maternal-pediatric-059","下列那一種對象是接種麻疹、腮腺炎、德國麻疹混合疫苗（MMR）的禁忌者？",59,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-017","有關待產與生產時姿勢的敘述，下列何者錯誤？",17,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-061","護理師為 6 個月大嬰兒進行肌肉注射，下列處理方式何者最適當？",61,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-maternal-pediatric-015","下列何種胎位之生產時間通常較短？",15,110,"2026-08-06",1787299089623]