[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-062","nurse-107-2-maternal-pediatric-062",107,2,62,"兒童在瀕死過程中，出現呼吸逐漸由深變淺時，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"避免給與止痛藥，以防呼吸抑制","出現臨終嘎聲時可抬高頭部或採側臥","提供昏暗的環境，以減少光線刺激","嚴格限制絕對臥床休息，避免任何活動","B",null,[],"本題考點在於臨終照護以「舒適」為最高原則。瀕死出現呼吸道分泌物堆積產生的臨終嘎聲(death rattle)時,依重力引流原理抬高頭部或採側臥,可幫助分泌物順勢流出、減少嗆咳與呼吸道阻塞,選 B。A 錯,臨終照護不應為顧慮呼吸抑制而扣住止痛藥,舒適與疼痛控制優先於延長生命的考量。C 昏暗環境並非瀕死必要措施,聽覺是最後消失的感官,重點在陪伴而非減光。D 嚴格限制絕對臥床、禁止任何活動屬過度約束,與臨終舒適照護精神相違。","臨終嘎聲源於病人意識下降、無力吞嚥或咳出上呼吸道分泌物,氣流通過而振動發聲;側臥或抬高頭部利用重力促分泌物引流,必要時減少靜脈輸液以降低分泌。安寧療護核心是舒適導向(comfort-focused),疼痛與呼吸困難的緩解優先,嗎啡在此同時具止痛與緩解呼吸窘迫的作用。",[24,27,29,31],{"term":25,"count":26},"安寧舒適照護",1,{"term":28,"count":26},"臨終嘎聲(death rattle)",{"term":30,"count":26},"重力引流姿位",{"term":32,"count":26},"感官消失順序",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-063","有關罹患先天性梅毒的嬰兒皮膚丘疹及脫屑的護理措施，下列何者不適當？",63,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-108-1-maternal-pediatric-079","協助有吞嚥困難的學齡前腦性麻痺病童進食，下列護理措施何者正確？",79,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-maternal-pediatric-013","下列何者是產婦待產時的危險徵象？",13,109,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-110-1-maternal-pediatric-051","小明，3 歲半，診斷為會厭炎而住院求治，下列護理措施何者最適當？",51,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-015","根據世界衛生組織（WHO）對無併發症或任何健康問題婦女的待產期照護建議，下列何者正確？",15,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-049","依據皮亞傑（Piaget）認知發展理論，有關具體運思期兒童對疾病的概念，下列敘述何者最適宜？",49,112,"2026-09-04",1788510726270]