[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-043":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-110-1-產兒科護理學-043","nurse-110-1-maternal-pediatric-043",110,1,43,"有關燒傷病童休克期最初 24 小時的處置措施，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"優先選擇乳酸林格氏液（lactated Ringer solution）補充液體","以皮下或肌肉注射給予止痛藥物，降低病童疼痛不適","提供高蛋白、高熱量飲食，以補充熱量與蛋白質耗損","照護重點是避免燒傷造成關節攣縮或變形後遺症","A",null,[],"本題考點是燒傷休克期（最初 24 小時）的優先處置。此期因大量體液滲漏至組織間隙導致低血容，考點在於液體復甦的選擇。依 Parkland 公式，休克期首要以晶體液補充血管內容積，首選乳酸林格氏液，故選 A。B 錯在休克期周邊循環差，皮下或肌肉注射止痛藥吸收不穩定，應採靜脈注射給藥。C 錯在急性期常有腸胃道功能受抑與代謝壓力，高蛋白高熱量飲食屬後續復原期重點。D 錯在預防關節攣縮變形屬復健期照護，非最初 24 小時焦點。故正解為 A。","燒傷分期：休克期或稱急救期（0 至 48 小時，體液大量外滲致低血容）、利尿期（體液回流）、復原期。液體復甦以 Parkland 公式估算：4 mL × 體重（kg）× 燒傷面積百分比，前 8 小時給總量一半、其餘 16 小時給另一半，以尿量每小時維持適當範圍為調整指標。休克期給藥須走靜脈以確保吸收。復原期才轉入高熱量高蛋白營養支持與關節活動預防攣縮，掌握分期重點即可分辨各措施的時序歸屬。",[24,27,29,31],{"term":25,"count":26},"Parkland公式",2,{"term":28,"count":26},"乳酸林格氏液",{"term":30,"count":10},"燒傷休克期",{"term":32,"count":10},"液體復甦",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-044","小玉，3 歲，體重 15 公斤，誤食外婆包粽子用的鹼水，就醫時意識清楚，下列處置何者最適當？",44,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-060","幼兒感染腸病毒後的 5 天內，需要密切注意腸病毒的嚴重合併症狀，下列選項何者除外？",60,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-074","咚咚，4 個月大，疑似泌尿道感染（urinary tract infection）住院，經排尿性膀胱尿道攝影（Voiding cystourethrogram, VCUG）檢查，確認為第三級，下列敘述何者正確？",74,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-006","第三孕期婦女抱怨下肢腫脹，傍晚時鞋子就穿不下，下列護理指導何者不適當？",6,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":57},"nurse-114-3-maternal-pediatric-050","小玉，1 歲 6 個月，罹患熱性痙攣，住院中突然痙攣發作，下列護理措施何者最適當？",50,114,"2026-09-04",1788510721976]