[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-045":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":26},"nurse-110-2-產兒科護理學-045","nurse-110-2-maternal-pediatric-045",110,2,45,"小莉，3 歲，因被熱湯潑及，處於燒燙傷急救期（emergent period），當小莉在低血量休克狀態下時，下列何者為最有效的止痛劑給予途徑？",{"A":14,"B":15,"C":16,"D":17},"鼻部吸入","皮下注射","肌肉注射","靜脈注射","D",null,[],"本題考點為低血量休克狀態下止痛劑給予途徑的選擇。依休克時周邊血管收縮、組織灌流不足，皮下與肌肉注射藥物吸收緩慢且不穩定，難以達到有效止痛，靜脈注射可直接進入循環、起效快且劑量可控，為最有效途徑，故選D。鼻部吸入(A)吸收不穩定；皮下注射(B)與肌肉注射(C)於低灌流時吸收差且回溫後恐一次大量吸收。判斷關鍵在休克時周邊吸收受阻，靜脈給藥最可靠。","燒燙傷急性期因體液大量滲出致低血容休克，周邊灌流差使肌肉或皮下藥物滯留，復甦後灌流回升可能造成藥物延遲性大量吸收而過量。故止痛(如morphine)採靜脈小劑量滴定。此期液體復甦以Parkland公式估算(4mL乘體重公斤乘燒傷面積百分比，前8小時給一半)。記憶：休克時給藥走靜脈。",[24,27,28,30],{"term":25,"count":26},"低血量休克",1,{"term":17,"count":26},{"term":29,"count":26},"周邊灌流不足",{"term":31,"count":26},"燒燙傷急性期",[33,37,42,46,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-2-maternal-pediatric-046","美國精神疾病診斷準則手冊第五版（DSM-5）將自閉症、亞斯伯格症及未分類廣泛性發展障礙，統稱為自閉症類群障礙症（autism spectrum disorder, ASD），有關其身心表徵，下列何者錯誤？",46,{"webId":38,"stem":39,"number":40,"year":41,"session":26},"nurse-111-1-maternal-pediatric-062","小佩，3 歲，因長期出現扁桃腺發炎，此次住院欲進行扁桃腺切除手術，有關手術後護理措施，下列敘述何者正確？",62,111,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-111-2-maternal-pediatric-076","小明，14 歲，最近常抱怨大腿肌肉疼痛，經檢查後確認是生長痛（growing pain），下列護理措施何者不適當？",76,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-112-3-maternal-pediatric-034","有關瀕死兒童家庭的照護敘述，下列何者不適當？",34,112,3,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-114-1-maternal-pediatric-038","使用氧氣頭罩（O 2 hood）之照護措施，下列敘述何者最不適當？",38,114,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-2-maternal-pediatric-032","依照艾瑞克森（Erikson）心理社會發展理論，那一個年齡層兒童會將住院或生病病因詮釋為對他的懲罰而產生罪惡感？",32,115,"2026-09-04",1788510730029]