[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-076","nurse-111-1-maternal-pediatric-076",111,1,76,"小華，5 歲，罹患腎病症候群（nephrotic syndrome），全身出現水腫。為預防因水腫可能產生的皮膚完整性受損，下列護理指導何者不適當？",{"A":14,"B":15,"C":16,"D":17},"選擇寬鬆通風的棉質衣服","適當地支托身體可減輕水腫及增加舒適感","避免經常更換姿勢導致皮膚摩擦受損","保持皮膚及皺摺處的清潔與乾燥","C",null,[],"本題考點為腎病症候群水腫兒童的皮膚完整性維護，題目要選「不適當」者。水腫組織血流灌注差、表皮張力高又脆弱，護理原則是減少壓迫與摩擦、保持乾爽並經常變換姿勢以分散受壓點。依此原則，C 主張避免經常更換姿勢，反而使同一部位持續受壓、加速皮膚破損，與預防壓傷背道而馳，故選 C。A 正確，寬鬆棉質衣物可減少摩擦與悶熱。B 正確，適當支托能減輕水腫張力並增加舒適。D 正確，皺摺處保持清潔乾燥可防浸潤與感染。","腎病症候群因大量蛋白尿導致低白蛋白血症，血漿膠體滲透壓下降，水分外滲至組織間隙形成全身性水腫。水腫皮膚的病理弱點：表皮被撐薄、微血管灌注減少、養分供應差，任何持續壓迫都易缺血壞死，故翻身變換姿勢是壓傷預防的基石而非禁忌。可連結壓傷分期與 Braden 量表中「活動度、摩擦力、剪力」等危險因子。記憶重點：水腫照護四原則為支托、寬鬆、乾爽、勤翻身，任何「不動」的選項在皮膚照護題幾乎都是陷阱。",[24,27,29,31,33],{"term":25,"count":26},"腎病症候群",5,{"term":28,"count":10},"低白蛋白血症水腫",{"term":30,"count":10},"壓傷預防",{"term":32,"count":10},"變換姿勢",{"term":34,"count":10},"皮膚完整性",[36,40,45,50,55,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-077","妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",77,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-maternal-pediatric-013","有關待產期間施行陰道內診的敘述，下列何者錯誤？",13,112,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-112-2-maternal-pediatric-027","有關產後正常紅惡露（Lochia Rubra）的敘述，下列何者錯誤？",27,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-113-2-maternal-pediatric-045","有關病童放置鼻胃管之護理照護，下列敘述何者較適當？",45,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-maternal-pediatric-049","林小妹，15 個月大，疑似腦膜炎住院，有關此疾病之敘述下列何者最適當？",49,114,3,{"webId":62,"stem":63,"number":43,"year":64,"session":49},"nurse-106-2-maternal-pediatric-013","下列何者為運用門閾理論來緩解宮縮疼痛不適的措施？",106,"2026-09-04",1788510736063]