[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-056":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-110-2-產兒科護理學-056","nurse-110-2-maternal-pediatric-056",110,2,56,"媽媽看到 2 歲大的小寶喝了一大口漂白水，應該如何立即處置再送醫？",{"A":14,"B":15,"C":16,"D":17},"先給小寶清水漱口","先給小寶喝一點牛奶","先幫小寶拍背讓他吐出來","給予吐根糖漿引發嘔吐","B",null,[],"本題考點是幼兒誤食腐蝕性物質(漂白水)的緊急處置原則。漂白水屬強鹼腐蝕劑，處置核心在於「稀釋並保護消化道黏膜，且絕對禁止催吐」，因催吐使腐蝕液再次通過食道造成二次灼傷，甚至嗆入呼吸道。選項B先給少量牛奶可稀釋並在黏膜上形成保護層，是最適當的立即處置，故為答案，之後須儘速送醫。C幫忙拍背讓其吐出、D給予吐根糖漿引發嘔吐，皆屬催吐，為腐蝕性中毒的禁忌，錯誤。A清水漱口雖能清潔口腔，但稀釋與黏膜保護效果不如牛奶或開水少量給予，相對不是首選。故B最適當。","腐蝕性(酸\u002F鹼)中毒處置三禁:禁催吐、禁洗胃、禁中和劑(酸鹼中和產熱加重灼傷)。牛奶或開水少量稀釋兼具緩衝與黏膜保護。吐根糖漿(ipecac)已因效益低、風險高而不再常規使用。對比:一般非腐蝕、非揮發性毒物才可能考慮催吐，但現代處置多以活性碳吸附取代。可連結:鹼性物質造成液化性壞死(穿透深)，酸性造成凝固性壞死;食道灼傷後晚期併發狹窄需追蹤。",[24,27,30,32],{"term":25,"count":26},"催吐禁忌",3,{"term":28,"count":29},"腐蝕性中毒",1,{"term":31,"count":29},"黏膜保護",{"term":33,"count":29},"誤食急救",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-maternal-pediatric-057","有關護理師與癌症末期病童談論有關死亡的溝通方式，下列敘述何者最適當？",57,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-maternal-pediatric-073","乳糜瀉（celiac disease）是對蛋白質中的麩質過敏而導致吸收不良的疾病，下列何種食物不適合麩質過敏的兒童食用？",73,111,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-112-1-maternal-pediatric-007","李女士懷孕 14 週，產檢時詢問：「我從小就吃素，現在懷孕了，我在飲食上要注意什麼嗎？」下列回應何者較適當？",7,112,{"webId":50,"stem":51,"number":52,"year":48,"session":26},"nurse-112-3-maternal-pediatric-045","有關尿道下裂（hypospadias）病童術後之敘述，下列何者最適當？",45,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-114-1-maternal-pediatric-049","張小弟，10歲，診斷為裘馨氏肌失養症（Duchenne muscular dystrophy），有關病因和臨床表徵，下列敘述何者錯誤？",49,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-043","罹患血友病病童，有關其護理指導，下列敘述何者錯誤？",43,115,"2026-09-04",1788510730132]