[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-073","nurse-108-1-maternal-pediatric-073",108,1,73,"阿明，1 歲，因罹患急性淋巴性白血症正接受誘導期化學治療。因發燒而追蹤抽血檢查，白血球 100\u002Fmm 3 ，血色素 7.6 g\u002FdL，血小板為 10000\u002Fmm 3 ，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"依醫囑立即給予廣效性的預防性抗生素","發燒時，可給予 Aspirin 藥物協助降溫","鼓勵阿明沒發燒時可多活動，如走路及玩球","仍可依其年齡施打水痘疫苗","A",null,[],"本題考點在白血病化療後嗜中性球低下（發燒性嗜中性球缺乏）的緊急處置。白血球僅 100\u002Fmm³ 屬重度免疫低下，一旦發燒須視為感染急症，應依醫囑立即給予廣效性預防性抗生素，故選 A。選項 B 錯在 Aspirin 會抑制血小板功能（此時血小板僅 1 萬），且兒童病毒感染用 Aspirin 有雷氏症候群風險，應以 acetaminophen 退燒。選項 C 錯在血小板極低時應限制劇烈活動以防出血，不宜鼓勵走路玩球。選項 D 錯在免疫低下者禁打活性減毒疫苗（水痘疫苗屬活疫苗），恐引發疫苗株感染。","發燒性嗜中性球缺乏（febrile neutropenia）是腫瘤急症，因免疫崩解，感染可迅速致敗血症，故「先給廣效抗生素、不等培養結果」。三低併發處理對比：白血球低→隔離防感染、退燒禁 Aspirin；血小板低→防出血、限制活動、避免侵入措施；血紅素低→評估貧血症狀。活性疫苗（MMR、水痘、卡介苗、口服小兒麻痺）為免疫低下禁忌。可連結概念：嗜中性球絕對值（ANC）、雷氏症候群、保護性隔離、活疫苗禁忌（呼應第 069 題）。",[24,26,28,30],{"term":25,"count":10},"發燒性嗜中性球缺乏",{"term":27,"count":10},"廣效性抗生素",{"term":29,"count":10},"Aspirin 與雷氏症候群",{"term":31,"count":10},"免疫低下禁活疫苗",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-074","新生兒篩檢為半乳糖血症陽性之飲食原則，下列何者錯誤？",74,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-109-1-maternal-pediatric-010","有關生產疼痛理論，下列描述何者正確？",10,109,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-109-2-maternal-pediatric-024","有關產後婦女生理復舊變化之敘述，下列何者正確？",24,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-110-2-maternal-pediatric-062","小玲，9 歲，於扁桃腺切除術（tonsillectomy）後，用手指著傷口並抱怨傷口疼痛，下列護理措施何者最適當？",62,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-026","有關產後泌尿系統的變化，下列何者為正常現象？",26,112,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-113-1-maternal-pediatric-010","胎兒為頭產式，胎頭呈部分屈曲，其最可能以下列那條徑線通過產道？",113,"2026-09-04",1788510710840]