[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-106-1-產兒科護理學-061","nurse-106-1-maternal-pediatric-061",106,1,61,"小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"為有效去除痰分泌物，可先行噴霧治療，再行姿位引流與叩擊","執行胸部物理治療的時間，最好是在飯前或飯後半小時","超音波噴霧器底部水槽需加入生理食鹽水，以避免機械受損","引流左肺上葉前節，最好的姿勢是俯臥及拍背部","A",null,[],"本題考點在胸腔物理治療的正確執行順序與姿位引流原則。依痰液鬆動原理,應先以噴霧治療濕化稀釋黏稠痰,再做姿位引流與叩擊使痰移向大氣道利於排出,故A正確。B錯在時間:治療應安排在飯前或飯後1至2小時,飯後半小時腹壓仍高、易引發嘔吐與吸入。C錯在超音波噴霧器底部水槽應加蒸餾水,若加生理食鹽水,其鹽分會腐蝕晶片並沉積礦物質。D錯在引流左肺上葉前節應採仰臥拍前胸,俯臥拍背是引流下葉或後節的姿勢,引流方向恰好相反。","姿位引流靠重力,原則是讓「病灶肺節開口朝下」;上葉前節開口朝前上,故採仰臥、床頭略抬並拍鎖骨與乳頭間前胸。口訣:上葉坐姿或仰臥、下葉頭低腳高、後節趴、前節躺。叩擊以杯狀手拍出空心聲,禁拍脊椎、乳房與腎區。整套順序為噴霧→引流加叩擊振動→抽痰,治療前後聽診比較囉音變化以評估成效。",[24,27,29,31],{"term":25,"count":26},"姿位引流",4,{"term":28,"count":10},"胸腔物理治療順序",{"term":30,"count":10},"超音波噴霧器",{"term":32,"count":10},"肺節解剖",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-062","吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",62,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-maternal-pediatric-078","小明，7 歲，在練習游泳時，被同學推入泳池中，因溺水而窒息，經救生員急救後，送醫院治療，目前懷疑腦幹及延髓受損，有關小明的呼吸型態，下列何者較可能出現？",78,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-107-2-maternal-pediatric-012","子宮生理性收縮環在肌肉上的變化為何？",12,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-maternal-pediatric-050","兒童接受排空性膀胱尿道攝影（voiding cystouretheography）的主要目的是：",50,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-014","有關脊髓阻斷（Spinal Block）之敘述，下列何者正確？",14,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-048","臨床上可以和嬰幼兒玩躲貓貓遊戲，轉移害怕的注意力，主要是利用其已發展何種概念？",48,111,"2026-09-04",1788510694237]