[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-108-2-產兒科護理學-048","nurse-108-2-maternal-pediatric-048",108,2,48,"有關胰島素注射的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"應先抽取短效胰島素 RI 後，再抽取中效胰島素 NPH","以 Z 字法做肌肉注射","注射部位須輪換，以避免注射部位脂質增生，影響胰島素的吸收","胰島素注射部位吸收速度由快而慢之排列順序為：腹部＞手臂＞大腿＞臀部","B",null,[],"本題考點在於胰島素注射的給藥原則。依胰島素的藥理與吸收特性,胰島素應以皮下注射(subcutaneous)給予,而非肌肉注射,更不需要Z字注射法,故錯誤者為B。Z字法是用於刺激性或會染色藥物(如鐵劑dextran)的肌肉注射技巧,與胰島素無關。A先抽短效RI再抽中效NPH(先清後濁,避免濁的NPH污染RI瓶)正確;C輪換注射部位可避免脂肪增生影響吸收正確;D吸收速度腹部>手臂>大腿>臀部,反映各部位血流差異,亦正確。考點在於辨識胰島素是皮下給藥,不用Z字肌注。","胰島素抽取口訣「先清後濁、RI先NPH後」,避免長效懸浮微粒逆流污染速效瓶。皮下注射角度依皮下脂肪厚度取45–90度,消瘦兒童捏起皮膚。吸收速度受血流影響:腹部最快且穩定為首選,運動的肢體(如大腿)吸收加快易低血糖。脂質增生(lipohypertrophy)源於反覆同點注射,會使吸收不穩,故須系統性輪換。",[24,27,29,31,33],{"term":25,"count":26},"胰島素皮下注射",1,{"term":28,"count":26},"先清後濁抽藥",{"term":30,"count":26},"注射部位輪換",{"term":32,"count":26},"吸收速度差異",{"term":34,"count":26},"Z字注射法適應症",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-049","小明，8 個月大，疑似患有胃食道逆流（gastroesophageal reflux, GER）接受多項診斷檢查，下列何者正確？",49,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-065","臺灣安寧緩和醫療條例保障不可治癒之臨終末期病人的醫療意願，有關兒童安寧緩和醫療照護，下列敘述何者錯誤？",65,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-079","當懷疑個案出現腦膜炎時，醫師常會執行柯林氏徵象（Kernig’s sign）之身體評估，此評估正確做法為何？",79,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-maternal-pediatric-037","陰道鏡檢查的最大優點是可清楚檢測子宮那一個部位之病灶？",37,111,{"webId":55,"stem":56,"number":26,"year":57,"session":10},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-015","護理師進入病室時發現新生兒哭泣，產婦表示：「我都等寶寶哭，確定寶寶餓了，然後再餵奶。」下列何項護理指導最適當？",15,113,"2026-09-04",1788510707239]