[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-062","nurse-111-1-maternal-pediatric-062",111,1,62,"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？",{"A":14,"B":15,"C":16,"D":17},"出現清喉嚨或吞嚥次數增加，應視為早期出血警訊","鼓勵採平躺姿勢，以利分泌物引流","鼓勵進食西瓜汁、番茄汁等冰冷飲料，以減輕疼痛","鼓勵用力擤鼻涕，清除口咽內分泌物","A",null,[],"本題考點是扁桃腺切除術後的觀察與照護重點。依術後照護，頻繁清喉嚨或吞嚥動作增加，常代表血液自傷口流至咽喉引發吞嚥反射，是早期出血的重要警訊，選項 A 正確。B 錯在鼓勵平躺，術後宜採側臥或俯側臥使分泌物與血液自口角流出、避免誤吸。C 錯在給予西瓜汁、番茄汁等紅色飲品，會與出血顏色混淆而干擾觀察，且過酸易刺激傷口，宜選清涼非紅色飲食。D 錯在鼓勵用力擤鼻涕或清喉嚨，會增加咽部壓力、誘發傷口出血。","扁桃腺切除術後出血分早期（24 小時內）與晚期（術後 5～10 天結痂脫落期），故頻繁吞嚥、嘔吐鮮血或臉色蒼白心跳快都須警覺。飲食避免紅色、過燙、粗硬與酸性食物；避免用力咳嗽、擤鼻、清喉等增加咽壓的動作。記憶點：側臥引流、冰涼非紅飲食、監測吞嚥頻率。可延伸連結術後止血觀察與出血徵象的家屬衛教。",[24,27,29,31,33],{"term":25,"count":26},"頻繁吞嚥警訊",2,{"term":28,"count":26},"側臥引流",{"term":30,"count":10},"扁桃腺切除術後",{"term":32,"count":10},"早期出血徵象",{"term":34,"count":10},"飲食禁忌",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-063","陳小弟，7 個月大，因高燒、聲音出現狗吠聲而入院，經醫師診斷為哮吼（croup），有關哮吼的護理措施，下列敘述何者錯誤？",63,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-maternal-pediatric-079","有關腦性麻痺（cerebral palsy）兒童常見的健康問題，下列敘述何者較不適當？",79,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-112-2-maternal-pediatric-013","陳女士懷孕 39 週入院待產，體溫 36.5℃、心跳 74 次／分、呼吸 24 次／分，血壓 120\u002F85 mmHg。有關待產時使用腰椎硬膜外麻醉（epidural analgesia）時，麻醉前後注意事項，下列何者錯誤？",13,112,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-maternal-pediatric-031","有關厭食症的敘述，下列何者錯誤？",31,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-maternal-pediatric-035","小敏，出生後診斷胎便吸入症候群（meconium aspiration syndrome），有關護理照護措施，下列敘述何者不適當？",35,114,3,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-maternal-pediatric-079","張小弟，罹患腦性麻痺，有咀嚼及吞嚥困難問題，有關幫助其吞嚥的護理措施，下列敘述何者正確？",106,"2026-09-04",1788510735915]