[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-2-產兒科護理學-044","nurse-107-2-maternal-pediatric-044",107,2,44,"琳琳，9 個月大，因細支氣管合併肺炎再度住院，醫囑需要胸腔物理治療，有關協助家屬進行出院準備，下列護理指導何者正確？",{"A":14,"B":15,"C":16,"D":17},"示範家人如何確認痰堆積部位，先進行姿位引流再行噴霧治療","確定痰液堆積部位後，每個姿位宜連續姿位引流約 15〜30 分鐘","過程中若琳琳出現呼吸窘迫、躁動不安等現象，仍可繼續執行","最佳的姿位引流時間，宜安排在飯前 1 小時或飯後 2 小時執行","D",null,[],"本題考點在嬰幼兒胸腔物理治療的執行時機與安全順序。姿位引流藉重力促痰液流向大氣道,宜安排在空腹時段以免嘔吐吸入,故飯前 1 小時或飯後 2 小時執行最恰當,D 正確。A 順序錯誤,應先以噴霧或水分稀釋痰液、再姿位引流叩擊,才利排痰;B 時間過長,每個姿位引流約 3–15 分鐘即可,連續 15–30 分鐘易致疲累與不適;C 錯誤,若出現呼吸窘迫、躁動或發紺應立即停止而非繼續。故正確指導為 D。","胸腔物理治療完整流程為:鬆痰(水分\u002F噴霧)→姿位引流(依痰積部位擺位借重力)→叩擊與震顫→抽吸或咳出。時機避開飽餐以防嘔吐吸入,故排在餐前或餐後至少 1.5–2 小時。安全監測:過程觀察膚色、呼吸與活動力,出現窘迫、發紺、心律不整即停。嬰幼兒每姿位時間短、總時程宜精簡,以免耗能與低血氧。",[24,27,30,32],{"term":25,"count":26},"姿位引流",4,{"term":28,"count":29},"胸腔物理治療時機",1,{"term":31,"count":29},"排痰順序",{"term":33,"count":29},"空腹執行",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-045","為嬰幼兒進行胸腔物理治療的叩擊（percussion）時，下列何項步驟不適當？",45,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-061","小華，4 歲，住院接受靜脈輸液導管治療，有關導管拔除前後之護理措施，下列何者正確？",61,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-075","小鋼，7 歲，罹患威廉氏腫瘤（Wilms tumor）第三期，即將接受腎臟切除術。下列敘述何者正確？",75,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-033","李女士產後 8 小時，惡露呈鮮紅色，1 小時內即浸溼整片產墊，下列護理措施何者錯誤？",33,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-077","妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",77,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-031","江女士為百貨公司化妝品銷貨員，因長期久站，懷孕前左腿即有明顯的靜脈曲張情形，產後會陰傷口腫脹疼痛而不願下床活動，產後第三天她試著下床步行，當她站立伸直左右小腿時，左小腿會感覺疼痛，觸摸也會覺得壓痛。依據上述情況，下列何項判斷及處置較適當？",31,112,"2026-09-04",1788510726055]