[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-076","nurse-109-2-maternal-pediatric-076",109,2,76,"陳小弟 11 歲，因闌尾炎進行盲腸切除術。有關手術後護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"疼痛時少用止痛劑，因易降低腸蠕動，可予腹部熱敷，減輕疼痛","定時監測傷口有無紅、腫、熱、痛等發炎現象","鼓勵病童臥床休息，減少下床，以預防傷口縫線滲血，導致影響傷口癒合","術後如有引流管留置，應採平躺姿勢，以利傷口引流","B",null,[],"本題考點為闌尾切除術後的傷口觀察重點。依術後感染監測原則，闌尾炎術後最需警覺傷口與腹腔感染，故應定時觀察傷口有無紅、腫、熱、痛等發炎徵象以早期發現併發症，選 B。A 錯在術後疼痛應適當給予止痛以利活動，且急性腹部與新傷口不宜熱敷，恐加重發炎或出血。C 錯在術後應鼓勵早期下床活動以促進腸蠕動、預防腸沾黏與栓塞，而非長期臥床。D 錯在留置引流管時宜採半坐臥姿勢，藉重力促進引流，平躺反不利引流。","闌尾炎屬急性腹症，術後照護核心是感染與腸蠕動恢復。紅腫熱痛為發炎的代表徵象。早期下床可降低術後腸阻塞、肺炎與深部靜脈栓塞。半坐臥使腹腔滲液積於骨盆低處便於引流，也減輕腹壁張力與疼痛。",[24,27,30,32],{"term":25,"count":26},"半坐臥引流",3,{"term":28,"count":29},"術後傷口感染徵象",1,{"term":31,"count":29},"發炎徵象",{"term":33,"count":29},"早期下床",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-maternal-pediatric-077","有關提供癲癇病童長期服用抗癲癇藥物的護理措施，下列何者錯誤？",77,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-110-2-maternal-pediatric-013","當待產婦有下列何者描述時，可判斷為真陣痛的徵象？",13,110,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-111-1-maternal-pediatric-027","初產婦照顧新生兒的各項行為，下列何者最不適當？",27,111,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-1-maternal-pediatric-065","菲菲，2 歲，罹患法洛氏四重症（Tetralogy of Fallot, TOF），出院後仍需每 12 小時服用毛地黃（Digoxin）一次，下列護理指導何者錯誤？",65,112,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-113-2-maternal-pediatric-009","葉女士，懷孕 39 週，因破水入院待產。護理師進行腹部觸診時，在宮底處觸摸到一個較軟，且比較不圓的胎兒部位；在恥骨聯合附近觸摸到一個較硬，似圓形的胎兒部位，接著在肚臍以下的部位聽取到清楚的胎心音。陰道內診時，摸到圓滑且硬的胎兒部位。判斷其胎產式為何？",9,113,{"webId":60,"stem":61,"number":26,"year":62,"session":26},"nurse-114-3-maternal-pediatric-003","李女士，懷孕 28 週，主訴有腿部抽筋和背痛的症狀，護理師評估後，發現她僅攝取少量的乳製品，且很少吃綠葉蔬菜。根據她的情況，鈣質攝取不足最可能導致下列那一種健康問題？",114,"2026-09-04",1788510717742]