[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-107-1-產兒科護理學-050","nurse-107-1-maternal-pediatric-050",107,1,50,"有關為白血病病童輸注紅血球濃縮液（packed RBC）的護理敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需評估病童在輸血前、輸血開始後 15 分鐘、輸血完成後之生命徵象","不可使用生理食鹽水之外的大量點滴來作為輸血管路排氣及沖洗之用","運用微凝集血液過濾器（micro-aggregatefilter）及輸注幫浦，以維持輸血量 5 mL\u002Fkg\u002Fhr 為宜","輸血時若出現寒顫、心跳過速、不安及發燒等反應，可使用溫血器維持血液溫度在 30℃～34℃","D",null,[],"本題考點是兒童輸注紅血球濃縮液的安全護理,要找錯誤敘述。依輸血反應處置原則,一旦出現寒顫、心跳過速、不安、發燒等疑似反應,首要動作是『立即停止輸血』並維持靜脈通路、通報醫師,而非以溫血器加溫續輸,故 D 錯誤為正解。選項 A 正確:須於輸血前、開始後 15 分鐘及完成後監測生命徵象,前 15 分鐘是急性反應好發時段。選項 B 正確:管路僅可用生理食鹽水沖洗,含糖或含鈣點滴會溶血或凝集。選項 C 正確:用微凝集過濾器並控輸速,兒童約 5 mL\u002Fkg\u002Fhr 以防循環負荷過重。","輸血反應處置口訣『停、換、通、留』:停止輸血、換上生理食鹽水維持通路、通報醫師、保留血袋送檢。生理食鹽水是唯一相容沖洗液,因為含糖溶液會使紅血球溶血、含鈣溶液(如林格氏液)會與抗凝劑檸檬酸鹽結合致凝血。溫血器僅用於大量快速輸血預防低體溫,溫度上限約 37℃,絕非用來『壓制』已發生的反應。前 15 分鐘慢速觀察是抓住急性溶血反應的黃金窗口。本題以『反應時加溫續輸』這個違反安全的動作作為錯誤答案。",[24,26,28,30],{"term":25,"count":10},"輸血反應處置停止輸血",{"term":27,"count":10},"生理食鹽水為唯一相容沖洗液",{"term":29,"count":10},"輸血前中後監測生命徵象",{"term":31,"count":10},"紅血球濃縮液輸注",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-051","有關第一型糖尿病（type I diabetes mellitus）的初期臨床表徵，下列敘述何者正確？",51,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-maternal-pediatric-067","有關德國麻疹（German measles）的護理指導及處置，下列何者正確？",67,2,{"webId":43,"stem":44,"number":10,"year":45,"session":41},"nurse-108-2-maternal-pediatric-001","依據世界衛生組織及聯合國兒童基金會推行的政策，要成為母嬰親善醫院需符合下列那一項規定？",108,{"webId":47,"stem":48,"number":49,"year":50,"session":41},"nurse-109-2-maternal-pediatric-039","林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",39,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-111-1-maternal-pediatric-003","下列何者不是全民健康保險於第一妊娠期婦女所提供之實驗室檢驗項目？",3,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-1-maternal-pediatric-037","有關絨毛膜癌的敘述，下列何者錯誤？",37,112,"2026-09-04",1788510703735]