[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-074":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-107-1-產兒科護理學-074","nurse-107-1-maternal-pediatric-074",107,1,74,"若注射化學藥物出現紅腫、疼痛及水泡時，有關下列照護及處理步驟，其順序何者正確？①每日追蹤滲漏部位變化 ②以空針反抽滲漏部位的藥物 ③在滲漏部位局部冰敷或熱敷或塗抹藥物 ④停止注射",{"A":14,"B":15,"C":16,"D":17},"④②③①","④③②①","②③④①","③②④①","A",null,[],"本題考點在於化學治療藥物外滲（extravasation）的標準處理流程與先後順序。依外滲處理原則，發現滲漏應先「停止注射」以中止傷害來源（④），再「以空針反抽滲漏部位的藥物」盡量抽回殘留藥液減少組織暴露（②），接著依藥物性質「局部冰敷或熱敷或塗抹解毒劑」處理（③），最後進入「每日追蹤滲漏部位變化」的持續評估階段（①），故順序為④②③①，選 A。其餘選項皆把「停止注射」擺在反抽或處理之後，違反「先止損、再減量、後處置、續追蹤」的邏輯，因此錯誤。","外滲處理的核心邏輯是「傷害管控四步驟」：Stop（停）→ Aspirate（抽）→ Antidote\u002F溫度處置 → Monitor（追蹤）。先停注射是因為只要藥還在滴，組織持續受損；反抽要在拔針前經由原留置針把殘藥抽出。冷熱敷的選擇取決於藥物：多數化療藥（如 anthracycline 類 doxorubicin）採冰敷使血管收縮、局限藥物擴散；少數如長春花生物鹼（vincristine、vinblastine）則反而用熱敷加速吸收，並搭配專屬解毒劑。記憶口訣「停、抽、敷、追」四字即可還原全序，也是臨床交班時的檢核順序。",[24,26,28,30,32],{"term":25,"count":10},"化療藥物外滲",{"term":27,"count":10},"停止注射",{"term":29,"count":10},"反抽殘藥",{"term":31,"count":10},"冷熱敷處置",{"term":33,"count":10},"傷口追蹤",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"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,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-1-maternal-pediatric-011","丁女士使用催產素催生，胎兒監視器顯示胎心音早期減速，此時最合宜之措施為何？",11,108,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-108-2-maternal-pediatric-025","有關新生兒囟門的敘述，下列何者正確？①前囟門為菱形，由二塊額骨及二塊頂骨組成 ②後囟門為三角形，約出生後 18 週關閉 ③囟門若凹陷代表有脫水現象 ④胎頭之塑形現象（molding）， 1 個月後即可恢復",25,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-109-2-maternal-pediatric-063","有關罹患心臟病嬰兒的護理照護，下列何者最適當？",63,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-maternal-pediatric-027","初產婦照顧新生兒的各項行為，下列何者最不適當？",27,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-maternal-pediatric-061","小華，9 個月，診斷為雙側中耳炎（Otitis Media），有關中耳炎之臨床表徵，下列敘述何者錯誤？",61,112,"2026-09-04",1788510703949]