[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-產兒科護理學-044","nurse-110-1-maternal-pediatric-044",110,1,44,"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？",{"A":14,"B":15,"C":16,"D":17},"食入後儘快進行催吐延緩吸收","在食入 2 小時內喝清水或牛奶中和","給予灌腸或胃灌洗","食入後積極投予 deferoxamine 治療","B",null,[],"本題考點是誤食腐蝕性強鹼（鹼水）的緊急處置原則。強鹼會造成液化性壞死，考點在於避免二次灼傷的正確作法。依毒物處置原則，意識清楚且無食道穿孔徵象者，於食入後短時間內可給予清水或牛奶稀釋中和以降低腐蝕濃度，故選 B。A 錯在催吐會使強鹼再次通過食道造成二度灼傷，屬禁忌。C 錯在灌腸或胃灌洗同樣可能加重腐蝕與穿孔風險，不宜。D 錯在 deferoxamine 是鐵中毒的螯合解毒劑，與鹼中毒無關。故正解為 B。","腐蝕性物質中毒的鐵律：強酸強鹼一律禁止催吐與洗胃，以免腐蝕物二次通過食道與誘發穿孔。強鹼造成液化性壞死、穿透較深；強酸造成凝固性壞死。初步可用少量清水或牛奶稀釋（避免大量以免誘發嘔吐），並儘速就醫評估食道損傷程度與後續內視鏡。對比記憶解毒劑：鐵中毒用 deferoxamine、乙醯胺酚中毒用 N-acetylcysteine、鴉片類用 naloxone，避免張冠李戴。",[24,26,28,30],{"term":25,"count":10},"腐蝕性物質中毒",{"term":27,"count":10},"強鹼液化性壞死",{"term":29,"count":10},"禁止催吐洗胃",{"term":31,"count":10},"稀釋處置",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-045","小瑄，1 歲 1 個月，因不明原因發燒而入住兒童病房，測量小瑄的生命徵象時，下列護理措施何者較不適當？",45,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-061","有關氣喘病童使用吸入型氣喘藥物，下列敘述何者錯誤？",61,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-075","有關先天性巨結腸症的臨床表徵，下列敘述何者錯誤？",75,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-033","有關比夏計分法（Bishop’s score）之敘述，下列何者正確？",33,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-maternal-pediatric-007","王女士，G 1 P 0 ，妊娠 39 週，因規則陣痛入院待產，護理紀錄上寫著「Effacement：50%」，其代表的意思為何？",7,113,3,{"webId":59,"stem":60,"number":10,"year":61,"session":10},"nurse-115-1-maternal-pediatric-001","有關我國母嬰親善醫院之認證基準，下列敘述何者錯誤？",115,"2026-09-04",1788510721981]