[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-106-1-產兒科護理學-044","nurse-106-1-maternal-pediatric-044",106,1,44,"小亮，8 歲，於野外露營時被雨傘節咬傷左小腿，下列何項處置最為適宜？",{"A":14,"B":15,"C":16,"D":17},"以夾板固定患肢且保持低於心臟位置","建議儘快沖洗傷口並將傷口切開","可於傷口的遠心端用彈性繃帶綁住","常因革蘭氏陽性桿菌感染需使用抗生素治療","A",null,[],"本題考點為神經毒性蛇(雨傘節)咬傷的急救處置。依急救原則,神經毒蛇咬傷應以夾板固定患肢並使其低於或平於心臟位置,減少活動與淋巴回流以延緩毒液擴散,故選A最適宜。B 錯在不應切開傷口,切開會增加感染與出血且無助排毒;C 錯在方位相反,加壓固定應施於傷口的「近心端」以延緩毒液回流,綁遠心端無效;D 錯在雨傘節毒液為神經毒素而非細菌感染,治療核心是抗蛇毒血清而非抗生素,更非針對革蘭氏陽性桿菌。","蛇咬急救可記「固定、低位、少動、快送」:制動並使患肢低於心臟、避免奔跑與切吸,盡速就醫給予對應抗蛇毒血清。雨傘節(banded krait)屬神經毒,臨床以肌肉無力、眼瞼下垂、呼吸肌麻痺為警訊,監測重點在呼吸。台灣六大毒蛇分神經毒(雨傘節、眼鏡蛇)與出血毒(龜殼花、赤尾青竹絲、百步蛇)兩大類,毒性表現與處置方向不同。",[24,26,28,30,32],{"term":25,"count":10},"雨傘節咬傷",{"term":27,"count":10},"神經毒素",{"term":29,"count":10},"患肢固定低於心臟",{"term":31,"count":10},"抗蛇毒血清",{"term":33,"count":10},"蛇咬急救原則",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"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,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-maternal-pediatric-061","有關兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）的臨床表徵，下列敘述何者正確？",61,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-maternal-pediatric-075","林小弟，5 歲，接受化學治療後出現食慾下降、噁心嘔吐且體重減輕。有關護理措施之敘述，下列何者錯誤？",75,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-maternal-pediatric-033","有關前置胎盤住院治療的護理措施，下列何者錯誤？",33,108,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-109-2-maternal-pediatric-077","有關提供癲癇病童長期服用抗癲癇藥物的護理措施，下列何者錯誤？",77,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-031","王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",31,111,"2026-09-04",1788510694043]