[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-075","nurse-107-1-maternal-pediatric-075",107,1,75,"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？",{"A":14,"B":15,"C":16,"D":17},"鼓勵林小弟可共同選擇或準備餐點","林小弟想吃鮮奶、奶昔，也可以讓他吃","以卡通樣式作為食物擺盤的依據","每天都須請林小弟一起測量體重","B",null,[],"本題考點在於兒童化療後噁心嘔吐、食慾不振的營養護理。依化療副作用照護原則，噁心嘔吐期間應避免濃郁氣味與油膩、乳製品類食物，因奶類易增加飽脹與黏膩感、加重噁心，故縱使病童想吃鮮奶、奶昔也不宜任其攝取，B 為錯誤敘述，選 B。A 正確：讓病童共同選擇或準備餐點可提升進食動機與自主感。C 正確：以卡通造型擺盤能吸引學齡前兒童、增進食慾。D 正確：每日一起測量體重有助於客觀監測營養狀態與脫水或惡病質趨勢，並讓病童參與。","化療引起噁心的機轉是藥物刺激延腦化學受器觸發區（CTZ）與腸道嗜鉻細胞釋放血清素，經迷走神經與 5-HT3 受體傳入嘔吐中樞。飲食護理的通則是：少量多餐、選清淡、乾冷、無強烈氣味的食物，避開油炸、辛辣與濃郁奶製品，並在噁心較輕的時段進食。本題的陷阱在於「病人想吃就給」聽起來符合尊重自主，但當該食物本身會加重症狀時，護理判斷仍應優先。學齡前兒童的照護還要善用遊戲與造型（卡通擺盤）與參與感（選菜、量體重）來對抗厭食，兼顧生理與心理發展需求。",[24,26,28,30],{"term":25,"count":10},"化療噁心嘔吐",{"term":27,"count":10},"營養護理",{"term":29,"count":10},"乳製品限制",{"term":31,"count":10},"學齡前兒童飲食",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-076","有關膀胱輸尿管逆流（Vesicoureteral Reflux, VUR），下列敘述何者錯誤？",76,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-012","江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",12,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-026","出生第 3 天的新生兒，出現早發性母乳黃疸，產婦擔心是否可以繼續哺餵母乳，下列護理師的回答何者適當？",26,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-064","小東 8 個月，診斷為法洛氏四重症（Tetralogy of Fallot），哭鬧厲害全身發紺，此時護理師給予氧氣，並將小東擺為膝胸臥式之目的為何？",64,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-028","王小弟，出生 1 個月，有關評估其生殖器之描述，下列何者最正確？",28,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-062","小名，3 歲，疑似罹患流行性感冒，有關臨床表徵的敘述，下列何者最不適當？",62,112,"2026-09-04",1788510703968]