[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-058":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":26},"nurse-106-2-產兒科護理學-058","nurse-106-2-maternal-pediatric-058",106,2,58,"小明，1 歲半，診斷為川崎氏症而住院治療。醫囑給予小明高劑量 Aspirin 100 mg\u002Fkg\u002Fday，及靜脈注射免疫球蛋白（intravenous immune globulin）2g\u002Fkg。下列護理指導內容，何者不適當？",{"A":14,"B":15,"C":16,"D":17},"小明目前服用 Aspirin 為高劑量，目的為抗發炎與抑制血小板凝集","給予病童換上透氣涼爽衣物，保護下肢水腫處，維持皮膚清潔、乾燥","注射免疫球蛋白之後 3 個月，小明就可以接種任何疫苗","小明半年內至少每個月一次宜接受心電圖檢查，以早期發現心臟合併症","C",null,[],"本題考點在川崎氏症治療中免疫球蛋白(IVIG)與疫苗接種的間隔。注射高劑量 IVIG 後,外來抗體會干擾活性減毒疫苗(如 MMR、水痘)的免疫反應,應延後至少 11 個月才接種,故『3 個月就可接種任何疫苗』錯誤,選 C。A 正確:高劑量 Aspirin 急性期抗發炎,後續低劑量抗血小板防冠狀動脈血栓。B 正確:急性期常肢體水腫,保持皮膚清潔乾燥屬適當照護。D 正確:最嚴重併發症為冠狀動脈瘤,需定期追蹤心臟以早期偵測。","川崎氏症為全身性血管炎,主要威脅冠狀動脈瘤。治療黃金期為發病 10 天內給 IVIG(2 g\u002Fkg)+高劑量 Aspirin。IVIG 含被動抗體會中和活疫苗病毒,故活性減毒疫苗(MMR、水痘)須延後約 11 個月;不活化疫苗不受此限。Aspirin 在此是少數兒童可用情境(急性期抗發炎、恢復期抗血小板),但需留意雷氏症候群風險。記憶:『打過 IVIG,活疫苗等 11 個月』。追蹤重點是冠狀動脈,常以心臟超音波定期評估。",[24,27,29,32],{"term":25,"count":26},"川崎氏症",5,{"term":28,"count":10},"冠狀動脈瘤追蹤",{"term":30,"count":31},"靜脈免疫球蛋白(IVIG)與活疫苗間隔",1,{"term":33,"count":31},"Aspirin 抗發炎\u002F抗血小板",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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":40,"stem":41,"number":42,"year":43,"session":31},"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":45,"stem":46,"number":47,"year":48,"session":31},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,108,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-109-1-maternal-pediatric-047","下列何者不是腮腺炎的臨床典型症狀？",47,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-maternal-pediatric-011","陳女士 G 2 P 1 待產時發現胎位為枕後位，主訴腰酸疼痛，下列護理措施何者不適當？",11,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-045","兒童誤食下列那種毒物時，可採用催吐處理？",45,111,"2026-09-04",1788510699624]