[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-2-產兒科護理學-049","nurse-109-2-maternal-pediatric-049",109,2,49,"有關生命末期兒童疼痛評估和照護，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"病童喊痛時需給予 meperidine 進行止痛","利用 QUESTT 進行兒童疼痛評估的蒐集","儘量避免和減少不必要的侵入性治療","教導家屬利用非藥物方式轉移注意力","A",null,[],"本題考點在於生命末期兒童的疼痛評估與止痛藥物選擇,屬找最不適當者。依藥理,meperidine(Demerol)代謝物normeperidine具神經毒性、易蓄積誘發癲癇,不適合需長期反覆給藥的末期疼痛控制,故A最不適當,選A。B以QUESTT工具系統性蒐集兒童疼痛資料屬正確評估法;C減少不必要侵入性治療符合緩和照護原則;D教家屬以非藥物方式轉移注意力為適當輔助措施,三者皆恰當。","QUESTT:Question詢問、Use評估工具、Evaluate行為與生理、Secure家長參與、Take病因、Take action並評值。末期止痛首選可滴定的長效嗎啡(morphine);避免meperidine因normeperidine半衰期長、經腎排除、致中樞興奮抽搐。",[24,26,29,31],{"term":25,"count":10},"meperidine神經毒性",{"term":27,"count":28},"末期疼痛照護",1,{"term":30,"count":28},"QUESTT疼痛評估",{"term":32,"count":28},"緩和照護原則",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-050","當護理師為病童點眼藥水時，下列敘述何者較不適宜？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-maternal-pediatric-066","有關胎兒出生後的心臟血管變化，下列敘述何者錯誤？",66,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-080","王小妹，8 個月大，被診斷為熱性痙攣（febrile convulsion），下列敘述何者最適當？",80,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-112-1-maternal-pediatric-038","王女士有打噴嚏、咳嗽、大笑所引起無法自主控制膀胱的漏尿，是屬於下列那種尿失禁？",38,112,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-113-1-maternal-pediatric-032","小亮，出生後診斷為腭裂（cleft palate），1歲時入院行腭裂修補術，有關術後約束之護理措施，下列敘述何者正確？",32,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-026","林同學，專科 3 年級生， 1 年前出現情緒低落、無助、悲傷，被診斷為青少年憂鬱症（adolescence’s depression），曾服用 Fluoxetine 及 Paroxetine 治療。近日因實習壓力大，導致失眠、企圖自我傷害。醫師表示憂鬱症復發，須接受治療。下列護理指導何者正確？",26,114,"2026-09-04",1788510717514]