[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":10},"nurse-115-2-產兒科護理學-027","nurse-115-2-maternal-pediatric-027",115,2,27,"有關兒童誤食毒物的處理，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"誤食鐵劑需快速檢查血中鐵濃度並使用活性碳幫助鐵劑的吸附","誤食鹼水不可催吐，發生 2 小時內可給予牛奶中和並立即送醫治療","誤食乙醯胺酚（acetaminophen）4 小時內可使用活性碳吸附劑延緩藥物吸收","誤食含鉛糖果紙可用螯合劑治療，如：EDTA（calcium disodium edetate）排除鉛毒素","A",null,[],"本題考點在於活性碳的吸附選擇性與各類毒物的專一解毒劑。活性碳對鐵、鋰等金屬離子及強酸強鹼幾乎沒有吸附能力,鐵劑中毒須以螯合劑 deferoxamine 排除,故 A 的處置最不適當。B 正確,強鹼屬腐蝕性物質,催吐會使食道再受一次灼傷,故禁催吐、以牛奶或水稀釋後送醫。C 正確,acetaminophen 中毒在數小時內給予活性碳可減少腸道吸收,再依血中濃度使用 N-acetylcysteine 解毒。D 正確,鉛中毒的標準治療即為 EDTA 這類螯合劑。","延伸原理:活性碳靠多孔表面以凡得瓦力吸附有機分子,金屬離子與強極性小分子帶電荷、分子量小,無法被有效吸附,這是「活性碳無效清單」的共同原因,常見無效項目包含鐵、鋰、酒精、強酸強鹼與碳氫化合物。專一解毒劑對照表可整批記:鐵對 deferoxamine、鉛對 EDTA 與 succimer、acetaminophen 對 N-acetylcysteine、鴉片類對 naloxone、有機磷對 atropine 加 pralidoxime。腐蝕性物質除禁催吐外也不做洗胃,理由同樣是避免第二次黏膜灼傷與穿孔風險。考點設計邏輯:三個正確選項都是標準處置,唯一錯項把「螯合」與「吸附」兩種完全不同的排毒機制混用,測的是機制層級的理解。可連結概念:鐵中毒五階段、鉛中毒與血鉛值分級、N-acetylcysteine 補充穀胱甘肽的機轉。",[24,26,29,31,33],{"term":25,"count":10},"活性碳吸附限制",{"term":27,"count":28},"deferoxamine 螯合治療",1,{"term":30,"count":28},"腐蝕性物質禁催吐",{"term":32,"count":28},"N-acetylcysteine 解毒",{"term":34,"count":28},"EDTA 鉛中毒治療",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-028","下列何者不屬於兒童疏忽的行為表現？",28,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-106-1-maternal-pediatric-074","小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",74,106,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-107-1-maternal-pediatric-008","王女士於醫師建議下，於妊娠 7 週進行超音波檢查，護理師的說明，下列何者不適當？",8,107,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-108-1-maternal-pediatric-046","兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",46,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-010","下列那個階段是胎兒體重快速增加的時期？",10,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-044","針對注意力不足／過動症（attention deficit hyperactivity disorder, ADHD）的行為表現與診斷之敘述，下列何者錯誤？",44,110,"2026-08-06",1787299007153]