[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-061":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-108-1-產兒科護理學-061","nurse-108-1-maternal-pediatric-061",108,1,61,"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？",{"A":14,"B":15,"C":16,"D":17},"注射部位的固定，儘量包紮手指末梢，以免鬆脫","儘量採纏繞方式固定注射部位，以防關節滑動","拔除後，注射部位乾燥後貼上膠布，以維護身體完整性","拔除後，給予輸注部位熱敷，以避免產生靜脈炎","C",null,[],"本題考點在兒童靜脈導管的固定與拔除護理。拔除導管後壓迫止血、待注射部位乾燥再貼上膠布，可維護皮膚完整並預防感染，故選 C。選項 A 錯在固定不應包紮手指末梢，須露出末梢以便觀察膚色、溫度與循環，避免壓迫造成缺血。選項 B 錯在不應以環繞纏繞方式固定，環狀纏繞可能造成遠端腫脹與循環受阻。選項 D 錯在導管拔除後不需熱敷，熱敷是用於已發生靜脈炎的治療，正常拔除後只需壓迫止血與保持乾燥。","周邊靜脈留置固定重點在「可視、可觸、不環繞」——透明敷料利於觀察滲漏與靜脈炎。靜脈炎徵象（紅腫熱痛、沿血管條索狀硬結）出現時才依醫囑處理，早期常用溫敷緩解。滲漏（infiltration）與外滲（extravasation）辨別：前者為一般輸液滲入組織腫脹發涼，後者為腐蝕性藥物外漏可致組織壞死。可連結概念：靜脈炎分級、末梢循環評估、滲漏處置。",[24,26,28,30],{"term":25,"count":10},"靜脈留置導管",{"term":27,"count":10},"末梢循環觀察",{"term":29,"count":10},"靜脈炎",{"term":31,"count":10},"拔管後護理",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-062","有關早產兒在保溫箱中的感官刺激，下列護理措施何者正確？",62,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-maternal-pediatric-078","有關皮肌炎（dermatomyositis）兒童的護理評估，下列何者錯誤？",78,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-109-2-maternal-pediatric-012","有關待產婦之護理，下列敘述何者錯誤？",12,109,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-110-2-maternal-pediatric-050","下列那個年齡層兒童，其繪畫發展已能充分表現創造性、具有平面及空間概念畫法？",50,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-014","有關胎心率變異性減速的敘述，下列何者正確？",14,112,{"webId":58,"stem":59,"number":60,"year":56,"session":61},"nurse-112-3-maternal-pediatric-048","有關發展性髖關節發育不良之護理措施，下列敘述何者錯誤？",48,3,"2026-09-04",1788510710741]