[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"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-111-1-產兒科護理學-059","nurse-111-1-maternal-pediatric-059",111,1,59,"有關川崎氏症的護理指導，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"注射免疫球蛋白 2 個月後，要按時接種疫苗","退燒後仍需依醫囑服用低劑量的 Aspirin","飲食採少量多餐和提供軟質的食物","出院後需定期回院追蹤檢查心臟功能","A",null,[],"本題考點是川崎氏症使用免疫球蛋白後的疫苗接種時機。依免疫學原則，注射高劑量免疫球蛋白（IVIG）會干擾活性減毒疫苗（如麻疹、腮腺炎、德國麻疹、水痘）的抗體反應，須延後約 11 個月再接種，選項 A 稱「2 個月後按時接種」錯誤，故選 A。B 正確，退燒後仍須依醫囑續服低劑量 Aspirin 以抗血小板、預防冠狀動脈栓塞。C 正確，急性期口腔黏膜炎與食慾差，宜少量多餐並提供軟質食物。D 正確，因川崎氏症易併發冠狀動脈瘤，出院後須定期追蹤心臟功能。","川崎氏症為全身性血管炎，最嚴重併發症是冠狀動脈瘤，故急性期以 IVIG 加高劑量 Aspirin 抗發炎，退燒後改低劑量 Aspirin 抗血小板。IVIG 內含被動抗體會中和活疫苗病毒，故活性減毒疫苗須延後（多建議 11 個月），但不活化疫苗不受影響。記憶點：IVIG 後遇「活疫苗」要等、Aspirin 高劑量退燒後轉低劑量、長期追蹤心臟。可延伸連結冠狀動脈瘤監測與 Aspirin 併雷氏症候群的衛教。",[24,27,30,33,35],{"term":25,"count":26},"川崎氏症",5,{"term":28,"count":29},"冠狀動脈瘤",3,{"term":31,"count":32},"免疫球蛋白IVIG",2,{"term":34,"count":10},"活性減毒疫苗延後",{"term":36,"count":10},"低劑量Aspirin",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-maternal-pediatric-060","小雄，9 歲，因抽搐發作住院接受檢查，當護理師以腦波檢查的相關圖片及故事，解說檢查的流程及相關注意事項並澄清小雄的錯誤觀念時，此為下列何種治療性遊戲？",60,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"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":32},"nurse-112-2-maternal-pediatric-010","護理師教導孕婦在家每日自行監測胎動，下列何者最適當？",10,112,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-113-2-maternal-pediatric-028","有關自閉症（autistic disorder）兒童的照護，下列敘述何者最適當？",28,113,{"webId":57,"stem":58,"number":59,"year":60,"session":29},"nurse-114-3-maternal-pediatric-032","小玲，2 歲，因骨折手術住院治療中，當您要進行換藥之疼痛評估時，下列何種疼痛評估工具最為適合？",32,114,{"webId":62,"stem":63,"number":45,"year":64,"session":10},"nurse-106-1-maternal-pediatric-076","李小妹，9 歲，剛被診斷為惡性腦瘤，母親擔心李小妹知道病情之後會傷心，所以不僅隱瞞病情，還整天面帶笑容，而李小妹卻說：「我這麼不舒服，我媽還笑嘻嘻，她有愛我嗎？」下列護理措施何者較適當？",106,"2026-09-04",1788510735903]