[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-042":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-110-2-產兒科護理學-042","nurse-110-2-maternal-pediatric-042",110,2,42,"小強，5 歲，因溺水急救後送至急診，體溫為 29℃，下列處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用 40～45℃加熱潮濕的氧氣","由靜脈提供 40～42℃的溫熱液體","給予 40～45℃電解液行胃灌洗","給予加溫毯使體溫上升 3℃\u002F小時","D",null,[],"本題考點為兒童低體溫(29℃)溺水後的復溫處置，要選錯誤者。依復溫速度不宜過快以免引發復溫休克、血管擴張性低血壓與心律不整，一般核心體溫回升以每小時約1至2℃為原則，故D以加溫毯讓體溫上升3℃\u002F小時過快，為錯誤處置，選D。加熱潮濕氧氣(A)、靜脈溫熱液體(B)、溫電解液胃灌洗(C)皆屬適當的主動核心復溫方法。判斷關鍵在復溫速率上限。","復溫分被動外部(移除濕衣、蓋毯)、主動外部(加溫毯、暖燈)與主動核心(溫氧、溫靜脈輸注、體腔灌洗、體外循環)。嚴重低體溫先做核心復溫以避免後降效應(afterdrop)：四肢冷血回流使核心溫再降。低體溫者心肌敏感易顫，搬動宜輕柔；復甦名言為warm and dead(回溫後仍無生命跡象方可判定)。",[24,27,29,31],{"term":25,"count":26},"低體溫復溫",1,{"term":28,"count":26},"復溫速率",{"term":30,"count":26},"後降效應",{"term":32,"count":26},"主動核心復溫",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-maternal-pediatric-059","有關川崎氏症的護理指導，下列敘述何者不適當？",59,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-maternal-pediatric-073","小佳，3 歲半女童，因經常泌尿道感染而反覆入院，此次入院準備作靜脈注射腎盂攝影（intravenous pyelogram, IVP）檢查，下列護理指導之敘述，何者不適當？",73,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-maternal-pediatric-031","有關病童使用 Fentanyl 貼片的敘述，下列護理指導何者錯誤？",31,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-1-maternal-pediatric-035","依據皮亞傑（Piaget）的認知發展理論，有關3〜5歲學齡前期兒童的死亡概念，下列敘述何者正確？",35,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-029","小羽，2 歲，住加護病房一段時間，對護理師安撫由拒絕轉為接受，對父母離開，也由以往哭喊行為，轉為不在意。依據 Bowlby 與 Roberson 分離焦慮分期為那一期？",29,115,"2026-09-04",1788510729990]