[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-108-2-產兒科護理學-047","nurse-108-2-maternal-pediatric-047",108,2,47,"葳葳，5 歲，剛做完右心導管檢查，返回病房後護理師提供的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"臥床 6 小時，清醒後即可進食","評估檢查側之肢體循環，並與另一側比較","砂袋加壓穿刺部位，彎曲肢體防止砂袋掉落","觸診兩側肢體的脛骨後動脈或足背動脈，做對稱性比較","C",null,[],"本題考點在於兒童心導管檢查後的穿刺部位護理。依心導管術後預防出血與維持肢體循環的原則,術後須臥床、穿刺側肢體保持伸直不可彎曲,以砂袋加壓止血,並定期評估遠端血液循環與雙側對稱性。故錯誤者為C:「彎曲肢體防止砂袋掉落」會使穿刺部位受牽動、增加出血與血腫風險,正確做法是保持肢體平直。A臥床6小時、清醒後可進食屬合理術後照護;B比較檢查側與對側肢體循環、D觸診雙側脛後或足背動脈作對稱比較,均為評估遠端灌流的正確措施。考點在於「穿刺側肢體須伸直制動」。","心導管術後照護重點:穿刺處加壓與觀察出血\u002F血腫、監測遠端脈搏與膚溫膚色(5P:pain、pallor、pulselessness、paresthesia、paralysis)、臥床制動數小時、鼓勵水分促進顯影劑排除。股動脈穿刺後屈髖屈膝會拉扯止血點,故須保持下肢平直。評估對側肢體是為建立循環比較的基準值。",[24,26,29,31,33],{"term":25,"count":10},"心導管術後護理",{"term":27,"count":28},"穿刺部位止血",1,{"term":30,"count":28},"肢體制動",{"term":32,"count":28},"遠端循環評估",{"term":34,"count":28},"足背動脈觸診",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-048","有關胰島素注射的敘述，下列何者錯誤？",48,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-078","有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",78,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-111-1-maternal-pediatric-036","有關 HPV 疫苗，下列敘述何者正確？",36,111,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-112-1-maternal-pediatric-080","李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",80,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-014","有關乳腺炎（mastitis）的敘述，下列何者錯誤？",14,113,"2026-09-04",1788510707235]