[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-2-產兒科護理學-067","nurse-109-2-maternal-pediatric-067",109,2,67,"小漢 8 歲，罹患血友病（hemophilia），下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"關節出血時，加壓並給予熱敷，減輕不適","鼓勵病童從事適度的活動，以強化其關節肌肉","刷牙時應選用硬毛刷","持續疼痛不止，可依醫囑給予止痛藥，如阿斯匹靈（aspirin）","B",null,[],"本題考點在於血友病(hemophilia)病童的護理措施。依出血預防與關節保護原則,鼓勵病童從事游泳、健走等適度且低碰撞的活動以強化關節周邊肌肉、保護關節,是最適當措施,故選B。A急性關節出血應冰敷加壓、抬高、休息以止血,熱敷會使血管擴張加重出血,方向錯誤;C應選軟毛牙刷以免刷傷牙齦出血,非硬毛;D阿斯匹靈(aspirin)會抑制血小板功能、加重出血傾向,應避免,改用acetaminophen止痛。","血友病為X性聯隱性凝血因子缺乏,A型缺Factor VIII、B型缺IX。急性出血處置口訣RICE即休息、冰敷、加壓、抬高,並補充凝血因子。長期避免創傷性運動與抗血小板藥如aspirin、NSAIDs。適度肌力訓練可穩定關節、減少自發性關節出血。",[24,27,29,31],{"term":25,"count":26},"血友病護理",1,{"term":28,"count":26},"關節出血處置",{"term":30,"count":26},"RICE原則",{"term":32,"count":26},"aspirin禁忌",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-068","9 歲的小君，診斷白血病（leukemia），目前接受化學治療，其血液檢驗數值嗜中性白血球計數為 800\u002Fmm 3 ，有關護理措施，下列敘述何者不適當？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-maternal-pediatric-004","懷孕期間由於生理機能改變，使得藥物在孕婦體內的吸收、分布、代謝與排泄均有改變，下列敘述何者正確？",4,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-maternal-pediatric-018","陳女士，產後 1 週，表示有易怒、失眠、沒有食慾、注意力不集中的情形，其最有可能的情況為何？",18,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-maternal-pediatric-056","有關提供慢性病兒童家庭之持續性及全面性照護的護理措施，下列敘述何者較不適當？",56,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-1-maternal-pediatric-050","有關熱性痙攣（febrile convulsion）的敘述，下列何者最不適當？",50,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-maternal-pediatric-044","劉小妹， 3 歲，罹患急性淋巴性白血病，經過血液常規檢查發現，白血球： 2,500\u002Fmm 3 ，多型核白血球（segment）： 8%，帶狀白血球（band）：10%，其絕對嗜中性白血球（absolut neutrophil count, ANC）是多少？",44,114,"2026-09-04",1788510717669]