[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-054":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-106-2-產兒科護理學-054","nurse-106-2-maternal-pediatric-054",106,2,54,"文華，9 歲，罹患淋巴癌末期，目前已轉移至骨頭，主訴右髖骨處很痛，經評估疼痛強度為八分，有關疼痛的護理措施，下列何者較為適當？",{"A":14,"B":15,"C":16,"D":17},"依醫囑給予口服 Tinten，並使用冰枕冰敷右髖骨處","依醫囑給予口服 Ibuprofen，並使用熱水袋熱敷右髖骨處","依醫囑給予肌肉注射 Demeral，並按摩右髖骨處","依醫囑給予靜脈注射 Morphine，並以枕頭支托右髖骨處","D",null,[],"本題考點在癌症末期重度疼痛(強度 8 分)的止痛階梯用藥與非藥物措施。依 WHO 三階梯止痛原則,重度疼痛(7–10 分)應用強效鴉片類,Morphine 為首選,靜脈注射起效快、劑量易調整,並以枕頭支托患處減少受壓,選 D。A Tinten 屬弱效,骨轉移劇痛不宜僅用弱止痛。B Ibuprofen(NSAID)僅第一階梯,無法涵蓋 8 分劇痛。C Demerol(meperidine)代謝物 normeperidine 蓄積致神經毒性,不宜用於慢性癌痛,且按摩骨轉移處恐加重疼痛與骨折風險。","WHO 止痛三階梯:第一階(輕痛)非鴉片類(NSAID、acetaminophen);第二階(中痛)弱鴉片(codeine);第三階(重痛)強鴉片(morphine)。癌痛應『依階梯、按時給、口服優先、個別化』。Meperidine 因 normeperidine 半衰期長、蓄積致中樞興奮抽搐,現已不建議慢性疼痛使用。骨轉移痛對 NSAID 與鴉片合併常較有效(前列腺素參與骨痛),但單用弱效不足以壓 8 分痛。支托而非按摩,避免病理性骨折。",[24,27,29,31],{"term":25,"count":26},"WHO 三階梯止痛原則",1,{"term":28,"count":26},"Morphine(強效鴉片類)",{"term":30,"count":26},"Meperidine 神經毒性(normeperidine)",{"term":32,"count":26},"骨轉移疼痛照護",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-055","有關協助雙親面對新生兒死亡，下列護理措施何者最適當？",55,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-071","有關胎血循環的血流方向，下列敘述何者正確？",71,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-005","一位單胞胎孕前 BMI 為 30 的孕婦，其飲食與體重的護理指導，下列何者最適當？",5,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-007","妊娠各時期的孕婦心理反應會因生理的改變而產生變化。第一妊娠期婦女的心理反應，下列敘述何者最適當？",7,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-041","依據美國燒傷協會有關兒童重度燒燙傷程度的分類，下列敘述何者正確？",41,111,"2026-09-04",1788510699570]