[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-045":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":26},"nurse-108-1-產兒科護理學-045","nurse-108-1-maternal-pediatric-045",108,1,45,"有關川崎氏症（Kawasaki Disease）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"急性期會持續發燒 5 天以上，並有草莓狀舌","急性期給予高劑量阿司匹靈（Aspirin）可抗發炎及抑制血小板凝集","亞急性期病童的手指、腳趾、肛門會有脫皮現象","當症狀獲得控制後，仍須長期追蹤其中樞神經系統病變","D",null,[],"本題考點是川崎氏症的臨床特徵與追蹤重點,須選錯誤者。依其為全身性血管炎、主要侵犯冠狀動脈的病理,症狀控制後須長期追蹤的是心血管系統(尤其冠狀動脈瘤),而非中樞神經系統,故錯誤者選D。A正確,急性期持續高燒5天以上並可見草莓舌。B正確,急性期給予高劑量阿斯匹靈抗發炎並抑制血小板凝集,合併免疫球蛋白治療。C正確,亞急性期出現手指、腳趾與肛門周圍脫皮,是典型病程表現,故三者皆正確。","川崎氏症診斷需發燒5天以上加上結膜充血、口唇草莓舌、多形皮疹、四肢末端變化、頸淋巴結腫等特徵,核心風險為冠狀動脈瘤,故治療以靜脈免疫球蛋白加阿斯匹靈,並以心臟超音波長期追蹤。記憶口訣:燒五天、草莓舌、剝皮、盯冠狀動脈。可連結阿斯匹靈於孩童一般禁用(雷氏症候群)但川崎症為例外的用藥概念。",[24,27,30,32],{"term":25,"count":26},"川崎氏症",5,{"term":28,"count":29},"冠狀動脈瘤追蹤",2,{"term":31,"count":10},"高劑量阿斯匹靈",{"term":33,"count":10},"草莓舌與脫皮",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-046","兒童氣喘發作時最容易造成呼吸性酸中毒的原因，下列何者正確？①呼吸過慢 ②新陳代謝率減慢 ③脫水 ④低血氧",46,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-108-2-maternal-pediatric-062","彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",62,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,109,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-2-maternal-pediatric-034","陳女士因痛經求診，護理師的回答，下列何者最適當？",34,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-2-maternal-pediatric-078","小強，7 歲，罹患癲癇，有長期服用抗癲癇藥，包括 Phenytoin(Dilantin)及 Valproic acid(Depakine)，有關藥物護理指導，下列敘述何者錯誤？",78,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-maternal-pediatric-032","小玲，2 歲 6 個月，因泌尿道感染住院，有關減輕小玲住院壓力的護理措施，下列敘述何者錯誤？",32,112,3,"2026-09-04",1788510710602]